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BREA CHILDREN'S DENTAL OFFICE AGNES S MONDEJAR DDS INC. NPI 1134231491


NPI Information

NPI: 1134231491
Provider Name: BREA CHILDREN'S DENTAL OFFICE, AGNES S MONDEJAR, DDS, INC.

Doing Business As: BREA CHILDREN'S DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1245 W CENTRAL AVE
BREA, CA
ZIP 92821
Phone: (562) 691-3788
Get Directions

BREA CHILDREN'S DENTAL OFFICE, AGNES S MONDEJAR, DDS, INC. is a general practice dentist in Brea, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BREA CHILDREN'S DENTAL OFFICE, AGNES S MONDEJAR, DDS, INC. NPI is 1134231491. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Brea Children's Dental.

The provider's business location address is:

1245 W CENTRAL AVE
BREA, CA
ZIP 92821-407
Phone: (562) 691-3788
Fax: (562) 691-3307

The provider's authorized official is Agnes S. Mondejar .
The authorized official title is President and has the following contact phone number (562) 691-3788.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice49603CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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