Organization
ALEX ANTIPOV DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX ANTIPOV DDS (OWNER/DENTIST)
(916) 419-9939
Entity
Organization
Contact information
Practice address
8759 CENTER PKWY, SACRAMENTO, CA 95823-7682
(916) 419-9939
Mailing address
PO BOX 340129, SACRAMENTO, CA 95834-0129
(916) 419-9939
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
50724
CA
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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