Individual
DR. IMAD TAMIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
15 SECOND AVE, DENVILLE, NJ 07834
(973) 625-4048
(973) 625-1984
Mailing address
15 2ND AVE, DENVILLE, NJ 07834-2711
(732) 310-6073
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI01875000
NJ
Other
Enumeration date
07/19/2011
Last updated
03/01/2017
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