NPI | 1366415325 |
---|---|
Other Name | RICHARD VERDERAME, DDS, MS |
Entity Type | Organization |
Authorized Contact | RICHARD VERDERAME Owner 505-891-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NM DD1612) |
Enumeration Date | 2006-02-09 |
Last Update Date | 2012-11-19 |