| NPI | 1205229895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMAD TAMIMI Manager 973-625-4048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI01875004) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |