Dental Board of California
Licensing details for: 2435
Name: MOBILE DENTAL CARE
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
1826 14TH STREET
SANTA MONICA CA 90404
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GLADKOV, ALEXANDRE GREGORY
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: GONCHAROV, EVGENI 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: GONCHAROV, EVGENI ALEXANDER
License/Registration Type: Dentist License
License Number: 40823 Primary Status: Current - Active
Address :
15 Caladium
RANCHO SANTA MARGARI CA 92688-8739
ORANGE COUNTY
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
