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Licensing details for: 1010

Name: HARBOR DENTAL GROUP, YULY VILDERMAN, DDS

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

825 HARBOR BLVD
WEST SACRAMENTO CA 95691
YOLO county
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Issuance Date

January 27, 1995

Expiration Date

April 30, 2019

Current Date / Time

June 6, 2025
1:52:11 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: VILDERMAN, ALEXANDER

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: VILDERMAN, YULY

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

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

Name: VILDERMAN, YULY

License/Registration Type: Dentist License

License Number: 41689 Primary Status: Current - Active

Address :
2233 Post St
Suite 102
SAN FRANCISCO CA 94115-3470
SAN FRANCISCO COUNTY

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FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

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

Name: VILDERMAN, ALEXANDER

License/Registration Type: Dentist License

License Number: 40753 Primary Status: Current - Active

Address :
1600 WEBSTER STREET
SUITE #C
SAN FRANCISCO CA 94115
SAN FRANCISCO COUNTY

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