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1396099115
OLGA ANTIPOVA
SANTA ROSA, CA
NPI
1396099115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 61522)
Enumeration Date
2012-10-31
Last Update Date
2012-10-31
Business Address
-- OLGA ANTIPOVA
140 STONY POINT RD STE A
SANTA ROSA, CA 95401-4121
Phone number: 707-578-3118
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Mailing Address
-- OLGA ANTIPOVA
5380 AUBURN FOLSOM RD
GRANITE BAY, CA 95746-5895
Phone number: 916-801-7977
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