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Individual
DR. JONPAUL VANREGENMORTER
Active
Individual
DR. JONPAUL VANREGENMORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN02748
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80945
BLUE CROSS BLUE SHIELD
RI
01
—
X12325
BLUE COSS BLUE SHIELD
MA
Enumeration date
09/15/2006
Last updated
07/08/2007
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