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Licensing details for: 224

Name: VILDERMAN, ALEXANDER

License Type: Moderate Sedation Permit

Primary Status: Cancelled

Address of Record

2640 LYON STREET
SAN FRANCISCO CA 94123
SAN FRANCISCO county
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Practice Location

1600 WEBSTER ST. SUITE C
SAN FRANCISCO CA 94115
SAN FRANCISCO county
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Issuance Date

August 11, 2023

Expiration Date

April 30, 2025

Current Date / Time

December 13, 2025
9:42:54 AM

License Relationships

MS to DDS or OMS or SP

License/Registration Role: Moderate Sedation Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special 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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