| 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 | |||
| 1659880169 | DDS CATALYST PAGOSA, LLC | 3501 N BUTLER AVE STE 104 | FARMINGTON | NM | 874016430 |