Organization
ALEXANDER V. ANTIPOV, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER ANTIPOV DDS (OWNER)
(916) 783-2110
Entity
Organization
Contact information
Practice address
911 RESERVE DRIVE, SUITE 150, ROSEVILLE, CA 95678
(916) 783-2110
(916) 783-2111
Mailing address
911 RESERVE DRIVE, SUITE 150, ROSEVILLE, CA 95678
(916) 783-2110
(916) 783-2111
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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