# ROYAL ORAL & MAXILLOFACIAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205229895
- **Authorized official:** DR. IMAD TAMIMI DMD (MANAGER)
- **Authorized official phone:** (973) 625-4048

## Contact information

- **Practice address:** 15 2ND AVE, DENVILLE, NJ 07834-2711
- **Practice address phone:** (973) 625-4048
- **Practice address fax:** (973) 625-1984
- **Mailing address:** 15 2ND AVE, DENVILLE, NJ 07834-2711
- **Mailing address phone:** (973) 625-4048
- **Mailing address fax:** (973) 625-1984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 22DI01875004 | NJ | Yes |

## Other

- **Enumeration date:** 03/06/2015
- **Last updated:** 03/06/2015