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Licensing details for: 79020

Name: ALEXANDRE GLADKOV DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Address of Record

1920 E 17th St
SUITE 103
SANTA ANA CA 92705-8626
ORANGE county
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Practice Location

1920 E 17th St
SUITE 103
SANTA ANA CA 92705-8626
ORANGE county
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Issuance Date

June 3, 2016

Expiration Date

April 30, 2026

Current Date / Time

June 7, 2025
9:0:12 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

Map

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