Individual
ROBERT J HIDDEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
555 BROADWAY, SOUTH HAVEN, MI 49090
(269) 323-2889
(269) 639-1264
Mailing address
555 BROADWAY, SOUTH HAVEN, MI 49090
(269) 323-2889
(269) 639-1264
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901012500
MI
Other
Enumeration date
10/24/2006
Last updated
12/29/2009
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