Alex Gladkov a Professional Dental Corporation
Alex Gladkov a Professional Dental Corporation provides General Practice Dentistry in Santa Ana, California. Licensed in California. Registered with an NPI since 2010.
- Licensed in
- CA
- In the registry since
- 2010
Practice location Address checks out
1920 E 17th St Ste 100Santa Ana, CA 92705-8626 Not confirmed with CMS for 16 years — call before visiting
Phone: (714) 953-6881
Fax: (714) 558-8618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 40822 (CA) |
|---|
Record details
| NPI number | 1831414119 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alexander Gladkov — Owner · (714) 953-6881 |
| NPI enumerated | March 30, 2010 |
| Last updated in NPPES | March 30, 2010 |
| Mailing address | 1920 E 17th St, Suite 100, Santa Ana, CA 92705-8626 |
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