Dental Board of California
Licensing details for: 42247
Name: VILDERMAN, NATALY
License Type: Dentist
Primary Status: Current - Active
Previous Names: VIDERMAN, NATALY
Address of Record
18 Rico Way
SAN FRANCISCO CA 94123-1219
SAN FRANCISCO 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: NATAY VILDERMAN, DDS
License/Registration Type: Additional Office Permit
License Number: 5925 Primary Status: Cancelled
Address :
EUREKA DENTAL GROUP
1623 EUREKA ROAD
ROSEVILLE CA 95661
PLACER 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 OFFICE, ALEXANDER VILDERMAN, DDS, A DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 1733 Primary Status: Cancelled
Address :
DRS VILDERMAN, KAPLAN & VILDERMAN
2675 GEARY BLVD STE 400
SAN FRANCISCO CA 94118
SAN FRANCISCO 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: EUREKA DENTAL GROUP DR A KAPLAN CORP
License/Registration Type: Fictitious Name Permit
License Number: 1536 Primary Status: Cancelled
Address :
1623 EUREKA ROAD
ROSEVILLE CA 95661
PLACER 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 OFFICE, ALEXANDER VILDERMAN, DDS, A DENTAL
License/Registration Type: Fictitious Name Permit
License Number: 4624 Primary Status: Cancelled
Address :
2675 GEARY BLVD, STE 400
SAN FRANCISCO CA 94118
SAN FRANCISCO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: VILDERMAN, NATALY
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 1572 Primary Status: Cancelled
Address :
18 RICO WAY
SAN FRANCISCO CA 94123
SAN FRANCISCO COUNTY



