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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