Organization · Type 2 NPI
Alexander V. Antipov, D.d.s., Inc.
Oral and Maxillofacial Surgery (Dentist) · Roseville, CA
NPI number
1114533064
Active
Practice location
911 Reserve Drive, Suite 150
Roseville, CA 95678
Fax (916) 783-2111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1114533064
Alexander V. Antipov, D.d.s., Inc.'s National Provider Identifier is 1114533064, issued on Sep 16, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Roseville, CA. The record was last updated on Sep 16, 2020.