Antipov, Alexander
Antipov, Alexander is an sole proprietor health care provider with primary practice located at 911 Reserve Drive Suite 150, Roseville CA 95678-1383. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Antipov, Alexander can be contacted via phone (916) 783-2110.Contact Information
Primary practice address
911 Reserve Drive Suite 150
Roseville CA 95678-1383
Phone: (916) 783-2110
Fax: (916) 783-2111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 50724 | California |
Profile Details
| NPI number | 1750553889 |
|---|---|
| LBN Legal business name | Antipov, Alexander |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2008 |
| Last updated | Mar 19th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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