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Olga Antipova
General Practice Dentistry in Santa Rosa, California
NPI 1396099115

Olga Antipova is a General Practice Dentistry based in Granite Bay, CA and is specialized in General Practice. Olga Antipova practices in Santa Rosa, CA. The NPI Number for Olga Antipova is 1396099115 and holds a License No. 61522 (California).

The current practice location address for Olga Antipova is 140 Stony Point Rd Ste A, Santa Rosa, CA and can be reached out via phone at 707-578-3118.

Location: 140 Stony Point Rd Ste A, Santa Rosa, CA, 95746-5895
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396099115
Provider Name
Olga Antipova
Credential
Provider Entity Type
Individual
Gender
Female
Address
140 Stony Point Rd Ste A, Santa Rosa, CA, 95746-5895
Phone Number
707-578-3118
Fax Number
Provider Enumeration Date
10/31/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 01 DO NOT HAVE IT YET
institution
Provider Business Practice Location Address Details
Address
140 Stony Point Rd Ste A
City
Santa Rosa
State
California
Zip
95401-4121
Phone Number
707-578-3118
Fax Number
person
Provider Business Mailing Address Details
Address
140 Stony Point Rd Ste A
City
Santa Rosa
State
California
Zip
95401-4121
Phone Number
707-578-3118
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
61522 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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