Betita, Timothy Alan
Betita, Timothy Alan is an individual health care provider with primary practice located at 32241 Crown Valley Pkwy Ste 220 , Dana Point CA 92629-3310. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Betita, Timothy Alan can be contacted via phone (949) 240-2280.Contact Information
Primary practice address
32241 Crown Valley Pkwy Ste 220
Dana Point CA 92629-3310
Phone: (949) 240-2280
Fax: (949) 240-2619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 30090 | Texas |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 9811800-9921 | Utah |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | A151709 | California |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DENT.DE.60660678 | Washington |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DDS101214 | California |
Profile Details
| NPI number | 1265726897 |
|---|---|
| LBN Legal business name | Betita, Timothy Alan |
| Credentials | MD, DDS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2011 |
| Last updated | Apr 16th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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