Individual
HIDEHIKO WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
COLLEGE OF DENTISTRY, 40TH AND HOLDREGE STS. RM 137, LINCOLN, NE 68583-0740
(402) 472-8900
Mailing address
COLLEGE OF DENTISTRY, 40TH AND HOLDREGE STS. RM 137, LINCOLN, NE 68583-0740
(402) 472-8900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
107
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4605
BC/BS
NE
05
—
47-078998500
—
NE
Enumeration date
03/06/2007
Last updated
02/27/2008
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