| NPI | 1922109370 |
|---|---|
| Other Name | JON-PAUL VAN REGENMORTER |
| Entity Type | Organization |
| Authorized Contact | JON-PAUL VAN REGENMORTER Owner 401-624-9177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI DEN2748) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |