# DDS CATALYST FARMINGTON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629596705
- **Authorized official:** ANDREW ASHBY DMD (OWNER)
- **Authorized official phone:** (303) 810-2890

## Contact information

- **Practice address:** 3501 N BUTLER AVE STE 104, FARMINGTON, NM 87401-6430
- **Practice address phone:** (505) 564-4470
- **Practice address fax:** (505) 325-9707
- **Mailing address:** 3501 N BUTLER AVE STE 104, FARMINGTON, NM 87401-6430
- **Mailing address phone:** (505) 564-4470
- **Mailing address fax:** (505) 325-9707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2017
- **Last updated:** 07/21/2022