Individual
LANI LEIGH HOSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6270 W MAIN ST, SUITE A, EAU CLAIRE, MI 49111-9480
(269) 461-6927
(269) 461-3068
Mailing address
1335 GUSDORF RD, SUITE A, TAOS, NM 87571-5204
(505) 751-9333
(505) 737-0483
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2176
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015467
—
NM
05
—
09258566
—
NM
Enumeration date
01/30/2006
Last updated
01/19/2017
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