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Organization
ALEX GLADKOV, DDS
Active
Organization
ALEX GLADKOV, DDS
Active
Other names
Dental Care on Premises
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX GLADKOV DDS (PRESIDENT AND CEO)
(800) 373-5400
Entity
Organization
Contact information
Practice address
6035 BRISTOL PKWY, SUITE 200, CULVER CITY, CA 90230-6601
(800) 373-5400
(888) 492-2900
Mailing address
6035 BRISTOL PKWY, SUITE 200, CULVER CITY, CA 90230-6601
(800) 373-5400
(888) 492-2900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40822
CA
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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