# CARLOS MOGLIANESI, D.M.D. PC

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

## Provider details

- **NPI number:** 1629196134
- **Authorized official:** DR. CARLOS JOSE MOGLIANESI (DENTIST)
- **Authorized official phone:** (908) 665-2300

## Contact information

- **Practice address:** 1806 SPRINGFIELD AVE., NEW PROVIDENCE, NJ 07974
- **Practice address phone:** (908) 665-2300
- **Practice address fax:** (908) 665-9200
- **Mailing address:** 8 PARTRIDGE RUN, WARREN, NJ 07059
- **Mailing address phone:** (732) 356-6905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | DI15175 | NJ | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020
