Alexander Antipov, DDS

NPI 1750553889 · on the registry since 2008 · sole proprietor

Practice

Address: 911 Reserve Drive
Suite 150
Roseville, CA 95678
Phone: (916) 783-2110
Fax: (916) 783-2111
Organisation at this address: Alexander V. Antipov, D.D.S., Inc.
Galleria Oral And Maxillofacial Surgery
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California