Mr Raymond Eddie Broussard, DDS | |
1724 Grande Blvd, Rio Rancho, NM 87124 | |
(505) 896-0245 | |
(505) 892-7579 |
Full Name | Mr Raymond Eddie Broussard |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 1724 Grande Blvd, Rio Rancho, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558478560 | NPI | - | NPPES |
83918 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DD1745 (New Mexico) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Raymond Eddie Broussard, DDS 1724 Grande Blvd, Rio Rancho, NM 87124 Ph: (505) 896-0245 | Mr Raymond Eddie Broussard, DDS 1724 Grande Blvd, Rio Rancho, NM 87124 Ph: (505) 896-0245 |
David Chodosh, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2200 Grande Blvd Se Ste A, Rio Rancho, NM 87124 Phone: 505-891-1500 | |
Dr. Susan M Burns-sanchez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1117 Rio Rancho Dr Se, Ste 19, Rio Rancho, NM 87124 Phone: 505-896-4657 Fax: 505-994-1720 | |
Robert W Astles, DMD MAGD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2200 Grande Blvd Se Ste A, Rio Rancho, NM 87124 Phone: 505-891-1500 | |
Dr. Noah Michael Shafer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1500 Montiano Loop Se, Rio Rancho, NM 87124 Phone: 347-406-2244 Fax: 505-559-4232 | |
Rebeca Viego, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2345 Southern Blvd Se Ste B1, Rio Rancho, NM 87124 Phone: 505-892-0111 | |
Steven R Fife, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2240 Grande Blvd Se Ste 101, Rio Rancho, NM 87124 Phone: 505-994-1700 | |
Dr. Nazario N. Young-trujillo, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 312 Unser Blvd Se, Rio Rancho, NM 87124 Phone: 505-796-6880 |