Benjamin Banneker Shirley
ActiveCalifornia license 106050
License
- Licensed by
- Dental Board of California
- License number
- 106050
- Status
- Active (Current)
- First issued
- March 7, 2021
- Expires
- April 30, 2027
- License holder
- Benjamin Banneker Shirley
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
992 Columbus Ave.
New York, NY 10025
New York, NY 10025
New York County