Organization
DDS CATALYST COUNTRY CLUB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ASHBY DDS, MBA (OWNER)
(505) 326-6800
Entity
Organization
Contact information
Practice address
6588 E. MAIN ST., FARMINGTON, NM 87402
(505) 326-6800
(505) 326-6809
Mailing address
6588 E. MAIN ST., FARMINGTON, NM 87402
(505) 326-6800
(505) 326-6809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164051
—
NM
Enumeration date
08/19/2006
Last updated
04/26/2019
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