Dental Board of California
Licensing details for: 12144
Name: CALIFORNIA IMPLANT SMILES, DENTAL PRACTICE OF ALEX GLADKOV DDS, I
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Secondary Status: Cancelled at the Request of the Licensee
Address of Record
1920 E. 17TH STREET, SUITE 103
SANTA ANA CA 92705
ORANGE county
Map
License Relationships
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: 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
