Provider Demographics
NPI:1609967173
Name:AWBREY, LAWRENCE STEVEN (DDS)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:STEVEN
Last Name:AWBREY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22949 VENTURA BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1245
Mailing Address - Country:US
Mailing Address - Phone:818-225-0180
Mailing Address - Fax:818-225-0185
Practice Address - Street 1:22949 VENTURA BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1245
Practice Address - Country:US
Practice Address - Phone:818-225-0180
Practice Address - Fax:818-225-0185
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25860122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist