NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
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 |
1659880169 |   |   |   | DDS CATALYST PAGOSA, LLC | 3501 N BUTLER AVE STE 104 | FARMINGTON | NM | 874016430 |
1669795456 |   |   |   | FOUR CORNERS FAMILY DENTAL LLC | 3501 N BUTLER AVE STE 114 | FARMINGTON | NM | 874016429 |
1033568688 | EWELL | JUSTIN |   |   | 3501 N BUTLER AVE | FARMINGTON | NM | 874016429 |
1912569732 | HAWKER | RUSTIN | G |   | 3501 N BUTLER AVE STE 104 | FARMINGTON | NM | 874016430 |