Provider Demographics
NPI:1982318614
Name:COLMENARES CARIO, GLEIMY MIGDALIA (DDS)
Entity Type:Individual
Prefix:
First Name:GLEIMY
Middle Name:MIGDALIA
Last Name:COLMENARES CARIO
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 1:551 CENTENNIAL DR APT H
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-7462
Mailing Address - Country:US
Mailing Address - Phone:661-227-1074
Mailing Address - Fax:
Practice Address - Street 1:551 CENTENNIAL DR APT H
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-7462
Practice Address - Country:US
Practice Address - Phone:661-227-1074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1084611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice