Individual
DR. TIMOTHY ALAN BETITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
32241 CROWN VALLEY PKWY STE 220, DANA POINT, CA 92629-3310
(949) 240-2280
(949) 240-2619
Mailing address
32241 CROWN VALLEY PKWY STE 220, DANA POINT, CA 92629-3310
(949) 240-2280
(949) 220-2619
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30090
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9811800-9921
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
A151709
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS101214
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DENT.DE.60660678
WA
Other
Enumeration date
05/31/2011
Last updated
04/16/2019
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