Organization
TAOS FAMILY DENTISTRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANI LEIGH HOSHAW DDS (CHAIRMAN OF THE BOARD)
(505) 751-9333
Entity
Organization
Contact information
Practice address
1335 GUSDORF RD STE A, TAOS, NM 87571-5206
(505) 751-9333
Mailing address
1335 GUSDORF RD STE A, TAOS, NM 87571-5206
(505) 751-9333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DD1823
NM
1223G0001X
General Practice Dentistry
Primary
DD2176
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015467
—
NM
05
—
013118
—
NM
05
—
13118
—
NM
Enumeration date
04/26/2007
Last updated
08/22/2020
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