Brea Children'S Dental

LBN: Agnes S. Mondejar, D.D.S., Inc.
Brea Children'S Dental is an health care organization with primary practice located at 1245 W Central Ave , Brea CA 92821-2407. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Agnes S. Mondejar, D.D.S., Inc. can be contacted via phone (562) 691-3788, or through Mondejar, Agnes S via phone (626) 536-6107.

Contact Information

Primary practice address
1245 W Central Ave Brea CA 92821-2407
Phone: (562) 691-3788
Fax: (562) 697-4686
Website:
Map and Directions
Authorized official contact:
Name: Mondejar, Agnes S Doctor of Dental Surgery (DDS)
Phone: (626) 536-6107

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 49603 California

Profile Details

NPI number 1952709230
LBN Legal business name Agnes S. Mondejar, D.D.S., Inc.
DBA Doing business as Brea Children'S Dental
Authorized official Mondejar, Agnes S Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2014
Last updated Dec 18th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952709230 NPPES
California Other G93555-01 DENTI-CAL

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