Agnes S Mondejar, DDS

NPI #1174694806 in Brea, California

Provider Information

NPI Number: 1174694806
Entity Type: Individual
Name: Agnes S Mondejar, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1245 W CENTRAL AVE
City: Brea
State: California
ZIP Code: 92821
Phone: (562) 691-3788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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