
Dental Board of California
Licensing details for: 3164
Name: ANTIPOVA, OLGA
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Adult
Address of Record
4145 SHADOW LANE #524
SANTA ROSA CA 95405
SONOMA county
Map
License Relationships
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: ANTIPOVA, OLGA
License/Registration Type: Dentist License
License Number: 61522 Primary Status: Current - Active
Address :
490 POST ST #1022
SAN FRANCISCO CA 94102
SAN FRANCISCO COUNTY