# GENTLE DENTAL PROVIDERS LLC

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

## Provider details

- **NPI number:** 1114365285
- **Authorized official:** DR. MOCK IN HUH D.M.D. (PARTNER)
- **Authorized official phone:** (609) 994-3880

## Contact information

- **Practice address:** 1044 LACEY RD, FORKED RIVER, NJ 08731-1051
- **Practice address phone:** (609) 994-3880
- **Practice address fax:** (609) 242-8668
- **Mailing address:** 1044 LACEY RD, FORKED RIVER, NJ 08731-1051
- **Mailing address phone:** (609) 994-3880
- **Mailing address fax:** (609) 242-8668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02501300 | NJ | Yes |

## Other

- **Enumeration date:** 06/11/2013
- **Last updated:** 06/11/2013