Dental Board of California
Licensing details for: 40823
Name: GONCHAROV, EVGENI ALEXANDER
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Probation Terminated
Previous Names: GONCHAROV, EVGUENI ALEXANDER
Address of Record
15 Caladium
RANCHO SANTA MARGARI CA 92688-8739
ORANGE county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: EVGENI ALEXANDER GONCHAROV, DDS
License/Registration Type: Additional Office Permit
License Number: 6157 Primary Status: Cancelled
Address :
620 ARIZONA AVENUE
SANTA MONICA CA 90404
LOS ANGELES COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: EUGENE A GONCHAROV, DDS
License/Registration Type: Additional Office Permit
License Number: 7702 Primary Status: Cancelled
Address :
6221 WILSHIRE BLVD, STE 303
LOS ANGELES CA 90048
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CITY DENTAL GROUP DR EKATERINA N GALINA
License/Registration Type: Fictitious Name Permit
License Number: 1504 Primary Status: Current - Active
Address :
7109 1/2 SUNSET BLVD
LOS ANGELES CA 90046
LOS ANGELES COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: MOBILE DENTAL CARE
License/Registration Type: Fictitious Name Permit
License Number: 2435 Primary Status: Cancelled
Address :
1826 14TH STREET
SANTA MONICA CA 90404
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: MOBILE DENTAL CARE
License/Registration Type: Fictitious Name Permit
License Number: 2435 Primary Status: Cancelled
Address :
1826 14TH STREET
SANTA MONICA CA 90404
LOS ANGELES COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: CITY DENTAL GROUP DR EKATERINA N GALINA
License/Registration Type: Fictitious Name Permit
License Number: 1504 Primary Status: Current - Active
Address :
7109 1/2 SUNSET BLVD
LOS ANGELES CA 90046
LOS ANGELES COUNTY
MDC to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Mobile Dental Clinic Permit
Name: EUGENE A GONCHAROV, DDS
License/Registration Type: Mobile Dental Clinic Permit
License Number: 13 Primary Status: Cancelled
Address :
6221 WILSHIRE BLVD, STE 303
LOS ANGELES CA 90048
LOS ANGELES COUNTY
