Dental Board of California
Licensing details for: 9651
Name: INNOVATIVE DENTAL OFFICE, VILDERMAN ALEXANDER, A PROFESSIONAL DEN
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: INNOVATIVE DENTAL OFFICE
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: 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
