Antonenko, Andrey
Antonenko, Andrey is an individual health care provider with primary practice located at 10 Sierra Gate Plz Ste 190 , Roseville CA 95678-6647. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Antonenko, Andrey can be contacted via phone (916) 786-3303.Contact Information
Primary practice address
10 Sierra Gate Plz Ste 190
Roseville CA 95678-6647
Phone: (916) 786-3303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 100314 | California |
Profile Details
| NPI number | 1144672874 |
|---|---|
| LBN Legal business name | Antonenko, Andrey |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2016 |
| Last updated | Nov 6th, 2020 - about 4 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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