| Alexander Antipov Inc | |
|
927 Reserve Dr Suite A Roseville CA 95678 | |
| (916) 783-2110 | |
| Not Available |
| Full Name | Alexander Antipov Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 927 Reserve Dr, Roseville, California |
| Authorized Official Name and Position | Tia Marie Bycroft (MANAGER) |
| Authorized Official Contact | 9167832110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Antipov Inc 927 Reserve Dr Suite A Roseville CA 95678 Ph: (916) 783-2110 | Alexander Antipov Inc 927 Reserve Dr Suite A Roseville CA 95678 Ph: (916) 783-2110 |
| NPI Number | 1245553924 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 03/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245553924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 50724 (California) | Primary |
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