# ALEX GLADKOV, DDS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dental Care on Premises
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902921554
- **Authorized official:** MR. ALEX GLADKOV DDS (PRESIDENT AND CEO)
- **Authorized official phone:** (800) 373-5400

## Contact information

- **Practice address:** 6035 BRISTOL PKWY, SUITE 200, CULVER CITY, CA 90230-6601
- **Practice address phone:** (800) 373-5400
- **Practice address fax:** (888) 492-2900
- **Mailing address:** 6035 BRISTOL PKWY, SUITE 200, CULVER CITY, CA 90230-6601
- **Mailing address phone:** (800) 373-5400
- **Mailing address fax:** (888) 492-2900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 40822 | CA | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 08/22/2020