Dental Board of California
Licensing details for: 6157
Name: EVGENI ALEXANDER GONCHAROV, DDS
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Sole Owner
Address of Record
620 ARIZONA AVENUE
SANTA MONICA CA 90404
LOS ANGELES county
Map
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: GONCHAROV, EVGENI ALEXANDER
License/Registration Type: Dentist License
License Number: 40823 Primary Status: Current - Active
Address :
15 Caladium
RANCHO SANTA MARGARI CA 92688-8739
ORANGE COUNTY
