Dental Board of California
Licensing details for: 79630
Name: ALEX G. GLADKOV DENTAL CORPORATION
License Type: Additional Office Permit
Primary Status: Cancelled
Organization Classification: Corporation
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
