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Organization

ALEX G. GLADKOV DENTAL CORPORATION

Active
Other names
Orthodontic Center of Orange County
Organization subpart
No

Provider details

NPI number
Authorized official
ALEX G. GLADKOV D.D.S (OWNER)
(714) 972-9222
Entity
Organization

Contact information

Practice address
1920 E 17TH ST, SUITE 120, SANTA ANA, CA 92705-8626
(714) 972-9222
(714) 558-8618
Mailing address
1920 E 17TH ST, SUITE 120, SANTA ANA, CA 92705-8626
(714) 972-9222
(714) 558-8618

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
40822
CA

Other

Enumeration date
10/13/2015
Last updated
03/02/2017
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