Provider Demographics
NPI:1326422940
Name:MONTERROSO, LAWRYN ASK (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAWRYN
Middle Name:ASK
Last Name:MONTERROSO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LAWRYN
Other - Middle Name:RENE
Other - Last Name:ASK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:7216 PALM AVENUE #B
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:CA
Mailing Address - Zip Code:92346
Mailing Address - Country:US
Mailing Address - Phone:909-862-7103
Mailing Address - Fax:909-862-1636
Practice Address - Street 1:7216 PALM AVENUE SUIT B
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:CA
Practice Address - Zip Code:92346
Practice Address - Country:US
Practice Address - Phone:909-862-7103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64673122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist