Provider Demographics
NPI:1629256615
Name:RIMIO, JOSEPH GEORGINO (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:GEORGINO
Last Name:RIMIO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 MANHATTAN BEACH BLVD
Mailing Address - Street 2:#102
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266
Mailing Address - Country:US
Mailing Address - Phone:310-545-4282
Mailing Address - Fax:310-546-2272
Practice Address - Street 1:1120 MANHATTAN BEACH BLVD
Practice Address - Street 2:#102
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266
Practice Address - Country:US
Practice Address - Phone:310-545-4282
Practice Address - Fax:310-546-2272
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25757122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist