Dental Board of California
Licensing details for: 13467
Name: BRUCEVILLE DENTAL GROUP- OFFICE OF ALEXANDER VILDERMAN DENTAL, INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
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
