Provider Demographics
NPI:1487038246
Name:KALA, GARIMA (DDS)
Entity Type:Individual
Prefix:DR
First Name:GARIMA
Middle Name:
Last Name:KALA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6610 34TH ST
Mailing Address - Street 2:APT # 321
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-2863
Mailing Address - Country:US
Mailing Address - Phone:201-993-2740
Mailing Address - Fax:
Practice Address - Street 1:2402 19TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79401-4414
Practice Address - Country:US
Practice Address - Phone:806-368-3731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-11
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX31306122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program