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Licensing details for: 5674

Name: DR ALEXANDER G GLADKOV

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: DR. ALEXANDER G. GLADKOV

Address of Record

1826 14TH ST STE 201-A
SANTA MONICA CA 90404
LOS ANGELES county
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Issuance Date

October 9, 1996

Expiration Date

April 30, 2002

Current Date / Time

June 7, 2025
9:7:49 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

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

Name: GLADKOV, ALEXANDRE GREGORY

License/Registration Type: Dentist License

License Number: 40822 Primary Status: Current - Active

Address :
1920 E 17th St
Suite 100
SANTA ANA CA 92705
ORANGE COUNTY

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