Individual
JOHN ANDREW VAN GEMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PS
Contact information
Practice address
1118 SOUTH PERRY ST, SPOKANE, WA 99202
(509) 534-2232
(509) 532-8636
Mailing address
1118 SOUTH PERRY ST, SPOKANE, WA 99202
(509) 534-2232
(509) 532-8636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010132
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010154539
BCBS
WA
05
—
5049622
—
WA
Enumeration date
07/28/2006
Last updated
07/08/2007
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