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Licensing details for: 17

Name: ALEXANDER G GLADKOV, DDS

License Type: Mobile Dental Clinic

Primary Status: Cancelled

Address of Record

6035 BRISTOL PKWY
STE 200
CULVER CITY CA 90230
LOS ANGELES county
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Issuance Date

July 8, 2003

Expiration Date

April 30, 2010

Current Date / Time

June 7, 2025
7:45:53 AM

License Relationships

MDC to DDS or OMS

License/Registration Role: Mobile Dental Clinic 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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