# GENTLE DENTAL - FORKED RIVER

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

## Provider details

- **NPI number:** 1588194559
- **Authorized official:** KEITH DUNOFF (OWNER)
- **Authorized official phone:** (732) 750-0707

## Contact information

- **Practice address:** 1044 LACEY RD STE 12, FORKED RIVER, NJ 08731-1051
- **Practice address phone:** (609) 994-3880
- **Mailing address:** 1044 LACEY RD STE 12, FORKED RIVER, NJ 08731-1051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2017
- **Last updated:** 06/13/2017
