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Licensing details for: 6413

Name: DENTAL CARE ON PREMISES, DENTAL OFFICE OF ALEX GLADKOV, DDS, INC.

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

6035 BRISTOL PKWY., STE. 200
CULVER CITY CA 90230
LOS ANGELES county
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Issuance Date

August 23, 2006

Expiration Date

April 30, 2010

Current Date / Time

December 16, 2025
12:28:31 PM

License Relationships

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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