# TAOS FAMILY DENTISTRY, INC

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

## Provider details

- **NPI number:** 1235359738
- **Authorized official:** DR. LANI LEIGH HOSHAW DDS (CHAIRMAN OF THE BOARD)
- **Authorized official phone:** (505) 751-9333

## Contact information

- **Practice address:** 1335 GUSDORF RD STE A, TAOS, NM 87571-5206
- **Practice address phone:** (505) 751-9333
- **Mailing address:** 1335 GUSDORF RD STE A, TAOS, NM 87571-5206
- **Mailing address phone:** (505) 751-9333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DD1823 | NM | — |
| 1223G0001X | General Practice Dentistry | DD2176 | NM | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0015467 | — | NM |
| 05 | — | 013118 | — | NM |
| 05 | — | 13118 | — | NM |
