Brea Children's Dental Office, Agnes S Mondejar, Dds, Inc.
NPI #1134231491 in Brea, California
Provider Information
- NPI Number
- 1134231491
- Entity Type
- Organization
- Organization Name
- Brea Children's Dental Office, Agnes S Mondejar, Dds, Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1245 W CENTRAL AVE
- City
- Brea
- State
- California
- ZIP Code
- 92821-2407
- Phone
- (562) 691-3788
Authorized Official
- Name
- AGNES S. MONDEJAR, DDS
- Title
- PRESIDENT
- Phone
- (562) 691-3788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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