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Licensing details for: 4161

Name: EAST L A DENTAL OFFICE, ABEN VEINBERG, DDS &

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Partnership

Address of Record

528 S AMALIA AVE
LOS ANGELES CA 90022
LOS ANGELES county
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Issuance Date

March 26, 2003

Expiration Date

October 31, 2004

Current Date / Time

June 6, 2025
2:2:50 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: VEINBERG, ABEN

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: GLADKOV, ALEXANDRE GREGORY

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: VEINBERG, ABEN

License/Registration Type: Dentist License

License Number: 41566 Primary Status: Current - Active

Address :
6738 LANKERSHIM BLVD.
NORTH HOLLYWOOD CA 91606
LOS ANGELES 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: 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

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