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Licensing details for: 4624

Name: CITY DENTAL OFFICE, ALEXANDER VILDERMAN, DDS, A DENTAL

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

2675 GEARY BLVD, STE 400
SAN FRANCISCO CA 94118
SAN FRANCISCO county
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Issuance Date

November 24, 2003

Expiration Date

April 30, 2017

Current Date / Time

June 6, 2025
1:54:14 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: VILDERMAN, NATALY

Address Not Disclosed

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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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, NATALY

License/Registration Type: Dentist License

License Number: 42247 Primary Status: Current - Active

Address :
18 Rico Way
SAN FRANCISCO CA 94123-1219
SAN FRANCISCO COUNTY

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