| NPI | 1407279177 |
|---|---|
| Former Legal Business Name | ALEXANDER O. ANTIPOV, D.D.S., INC |
| Entity Type | Organization |
| Authorized Contact | YELENA MYALIK Office Manager 916-783-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |