Organization
AGNES S. MONDEJAR, D.D.S., INC.
Active
Other names
Brea Children's Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AGNES S MONDEJAR D.D.S. (PRESIDENT)
(626) 536-6107
Entity
Organization
Contact information
Practice address
1245 W CENTRAL AVE, BREA, CA 92821-2407
(562) 691-3788
(562) 697-4686
Mailing address
1245 W CENTRAL AVE, BREA, CA 92821-2407
(562) 691-3788
(562) 697-4686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49603
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93555-01
DENTI-CAL
CA
Enumeration date
12/18/2014
Last updated
12/18/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us