Individual
AGNES S MONDEJAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1245 W CENTRAL AVE, BREA, CA 92821
(562) 691-3788
(562) 691-3307
Mailing address
1245 W CENTRAL AVE, BREA, CA 92821
(562) 691-3788
(562) 691-3307
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49603
CA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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