Individual
DR. ALEXANDER ANTIPOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
911 RESERVE DRIVE, SUITE 150, ROSEVILLE, CA 95678-1383
(916) 783-2110
(916) 783-2111
Mailing address
911 RESERVE DR, SUITE 150, ROSEVILLE, CA 95678-1340
(916) 783-2110
(916) 783-2111
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
50724
CA
Other
Enumeration date
03/28/2008
Last updated
03/19/2014
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