| NPI | 1629196134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS JOSE MOGLIANESI Dentist 908-665-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NJ DI15175) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |