Provider Demographics
NPI:1831221134
Name:RIM, PAUL (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:RIM
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 HOPKINS AVE
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-1410
Mailing Address - Country:US
Mailing Address - Phone:650-368-8348
Mailing Address - Fax:650-365-2244
Practice Address - Street 1:1027 HOPKINS AVE
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-1410
Practice Address - Country:US
Practice Address - Phone:650-368-8348
Practice Address - Fax:650-365-2244
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2019-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA496481223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics