Provider Demographics
NPI:1265829550
Name:SCRIMA, QUIARA
Entity Type:Individual
Prefix:
First Name:QUIARA
Middle Name:
Last Name:SCRIMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MAIL STOP F833
Mailing Address - Street 2:13065 E. 17TH AVE., CU DENTAL FACULTY PRACTICE
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045
Mailing Address - Country:US
Mailing Address - Phone:303-724-6900
Mailing Address - Fax:
Practice Address - Street 1:13065 E. 17TH AVE.
Practice Address - Street 2:CU DENTAL FACULTY PRACTICE MAIL STOP F833
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045
Practice Address - Country:US
Practice Address - Phone:303-724-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-24
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO906110124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist