Organization
BREA CHILDREN'S DENTAL OFFICE, AGNES S MONDEJAR, DDS, INC.
Active
Other names
Brea Children's Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AGNES S. MONDEJAR DDS (PRESIDENT)
(562) 691-3788
Entity
Organization
Contact information
Practice address
1245 W CENTRAL AVE, BREA, CA 92821-2407
(562) 691-3788
(562) 691-3307
Mailing address
1245 W CENTRAL AVE, BREA, CA 92821-2407
(562) 691-3788
(562) 691-3307
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49603
CA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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