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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
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Issuance Date

July 27, 1994

Expiration Date

July 31, 2027

Current Date / Time

December 13, 2025
5:33:0 PM

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

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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

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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

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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

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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

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