| Richard Verderame, Dds, Ms | |
|
4111 Barbara Loop Se Suite E-2 Rio Rancho NM 87124-1068 | |
| (505) 891-3000 | |
| Not Available |
| Full Name | Richard Verderame, Dds, Ms |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 4111 Barbara Loop Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Richard Verderame (OWNER) |
| Authorized Official Contact | 5058913000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Verderame, Dds, Ms 4111 Barbara Loop Se Suite E-2 Rio Rancho NM 87124-1068 Ph: (505) 891-3000 | Richard Verderame, Dds, Ms 4111 Barbara Loop Se Suite E-2 Rio Rancho NM 87124-1068 Ph: (505) 891-3000 |
| NPI Number | 1366415325 |
|---|---|
| Provider Enumeration Date | 02/09/2006 |
| Last Update Date | 11/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366415325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DD1612 (New Mexico) | Primary |
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