Organization
RICHARD VERDERAME, DDS, MS
Active
Other names
Richard Verderame, DDS, MS
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD VERDERAME D.D..S, M.S. (OWNER)
(505) 891-3000
Entity
Organization
Contact information
Practice address
4111 BARBARA LOOP SE, SUITE E-2, RIO RANCHO, NM 87124-1068
(505) 891-3000
Mailing address
4111 BARBARA LOOP SE, SUITE E-2, RIO RANCHO, NM 87124-1068
(505) 891-3000
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DD1612
NM
Other
Enumeration date
02/09/2006
Last updated
11/19/2012
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