Provider Demographics
NPI:1770752461
Name:LAMBA, ARTI GAUR (DDS)
Entity type:Individual
Prefix:DR
First Name:ARTI
Middle Name:GAUR
Last Name:LAMBA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ARTI
Other - Middle Name:
Other - Last Name:GAUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:923 BENDLETON DR
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-7055
Mailing Address - Country:US
Mailing Address - Phone:404-431-2570
Mailing Address - Fax:
Practice Address - Street 1:2484 BRIARCLIFF RD NE STE 29
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-3011
Practice Address - Country:US
Practice Address - Phone:404-315-7375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX231921223G0001X
GADN0140451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice