| Alex Antipov Dental Corp | |
|
8759 Center Pkwy Sacramento CA 95823-7682 | |
| (916) 419-9939 | |
| Not Available |
| Full Name | Alex Antipov Dental Corp |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 8759 Center Pkwy, Sacramento, California |
| Authorized Official Name and Position | Alex Antipov (OWNER/DENTIST) |
| Authorized Official Contact | 9164199939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Antipov Dental Corp Po Box 340129 Sacramento CA 95834-0129 Ph: (916) 419-9939 | Alex Antipov Dental Corp 8759 Center Pkwy Sacramento CA 95823-7682 Ph: (916) 419-9939 |
| NPI Number | 1588197156 |
|---|---|
| Provider Enumeration Date | 04/10/2017 |
| Last Update Date | 04/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588197156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 50724 (California) | Primary |
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