Organization
ROYAL ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMAD TAMIMI DMD (MANAGER)
(973) 625-4048
Entity
Organization
Contact information
Practice address
15 2ND AVE, DENVILLE, NJ 07834-2711
(973) 625-4048
(973) 625-1984
Mailing address
15 2ND AVE, DENVILLE, NJ 07834-2711
(973) 625-4048
(973) 625-1984
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI01875004
NJ
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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