Organization
BETITA BAKER DENTAL PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY BETITA DDS, MD (PARTNER)
(949) 240-2280
Entity
Organization
Contact information
Practice address
32241 CROWN VALLEY PKWY STE 220, DANA POINT, CA 92629-3310
(949) 240-2280
Mailing address
32241 CROWN VALLEY PKWY STE 220, DANA POINT, CA 92629-3310
(949) 240-2280
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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