Individual
DR. ADORINA BETGORGIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5805 CHARLOTTE DR APT A-580, SAN JOSE, CA 95123-3619
(408) 666-9657
Mailing address
5805 CHARLOTTE DR APT A-580, SAN JOSE, CA 95123-3619
(408) 666-9657
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
107986
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107986
CALIFORNIA DENTAL BOARD
CA
Enumeration date
09/08/2022
Last updated
09/08/2022
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