| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1003295478 | FOUR CORNERS FAMILY DENTAL-CO, LLC | 3501 N BUTLER AVE STE 104 | FARMINGTON | NM | 87401 | |||
| 1285252627 | 3501 NORTH BUTLER AVENUE FARMINGTON PROFESSIONAL LLC | 3501 N BUTLER AVE STE 104 | FARMINGTON | NM | 874016430 | |||
| 1629596705 | DDS CATALYST FARMINGTON, LLC | 3501 N BUTLER AVE STE 104 | FARMINGTON | NM | 874016430 | |||
| 1033568688 | EWELL | JUSTIN | 3501 N BUTLER AVE | FARMINGTON | NM | 874016429 |