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Licensing details for: 1446

Name: ANTIPOV, ALEXANDER V

License Type: Dentist General Anesthesia

Primary Status: Current - Active

Address of Record

911 RESERVE DR
STE 150
ROSEVILLE CA 95678
PLACER county
Map

Issuance Date

June 24, 2008

Expiration Date

March 31, 2026

Current Date / Time

September 8, 2025
9:37:54 AM

License Relationships

GA to DDS or OMS or SP

License/Registration Role: General Anesthesia Permit

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: ANTIPOV, ALEXANDER V

License/Registration Type: Dentist License

License Number: 50724 Primary Status: Current - Active

Address :
911 Reserve Dr Ste 150
ROSEVILLE CA 95678
PLACER COUNTY

Map

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