| NPI | 1952709230 |
|---|---|
| Doing Business As | BREA CHILDREN'S DENTAL |
| Entity Type | Organization |
| Authorized Contact | AGNES S MONDEJAR President 626-536-6107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49603) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |