OLGA ANTIPOVA

SANTA ROSA, CA
NPI1396099115
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  61522)
Enumeration Date2012-10-31
Last Update Date2012-10-31
Business Address
-- OLGA ANTIPOVA
140 STONY POINT RD STE A
SANTA ROSA, CA 95401-4121
Phone number: 707-578-3118
Mailing Address
-- OLGA ANTIPOVA
5380 AUBURN FOLSOM RD
GRANITE BAY, CA 95746-5895
Phone number: 916-801-7977