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Licensing details for: 12445

Name: HARBOR DENTAL GROUP, ALEXANDER VILDERMAN DDS

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: WEST SACRAMENTO DENTAL GROUP, ALEXANDER VILDERMAN DENTAL OFFICE, INC

Address of Record

825 HARBOR BLVD
WEST SACRAMENTO CA 95691
YOLO county
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Issuance Date

October 8, 2015

Expiration Date

April 30, 2027

Current Date / Time

June 6, 2025
2:48:17 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: VILDERMAN, ALEXANDER

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, 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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