Organization
RICHARD VERDERAME DDS MS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD VERDERAME (OWNER)
(505) 891-3000
Entity
Organization
Contact information
Practice address
4111 BARBARA LOOP SE, E-2, RIO RANCHO, NM 87124-1068
(505) 891-3000
(505) 891-7880
Mailing address
4111 BARBARA LOOP SE, E-2, RIO RANCHO, NM 87124-1068
(505) 891-3000
(505) 891-7880
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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