DDS Catalyst Farmington, LLC
Dentist, General Practice in Farmington, NM. Organization (NPI-2).
NPI number1629596705
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1629596705
- Entity type
- Organization (NPI-2)
- Legal business name
- DDS Catalyst Farmington, LLC
- Organization subpart
- No
- Enumeration date
- Sep 8, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
3501 N Butler Ave Ste 104Farmington, NM 87401-6430
Phone 505-564-4470 · Fax 505-325-9707
Mailing address
3501 N Butler Ave Ste 104Farmington, NM 87401-6430
Phone 505-564-4470 · Fax 505-325-9707
Authorized official
Andrew Ashby
Owner
3038102890
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