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Licensing details for: 523

Name: VILDERMAN, ALEXANDER

License Type: Conscious Sedation

Primary Status: Cancelled

Address of Record

1600 WEBSTER STREET
SUITE C
SAN FRANCISCO CA 94115
SAN FRANCISCO county
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Issuance Date

August 10, 2006

Expiration Date

April 30, 2023

Current Date / Time

December 13, 2025
5:18:46 PM

License Relationships

CS to DDS, OMS, or SP

License/Registration Role: Conscious Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: VILDERMAN, ALEXANDER

License/Registration Type: Dentist License

License Number: 40753 Primary Status: Current - Active

Address :
1600 WEBSTER STREET
SUITE #C
SAN FRANCISCO CA 94115
SAN FRANCISCO COUNTY

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