# TUBA CITY REGIONAL HEALTH CARE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TUBA CITY REGIONAL HEALTHCARE CORPORATION
- **Other names:** Sacred Peaks Health Center Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194301234
- **Legal business name:** TUBA CITY REGIONAL HEALTHCARE CORPORATION
- **Authorized official:** LYNETTE BONAR (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (928) 283-2501

## Contact information

- **Practice address:** 6300 N HIGHWAY 89, FLAGSTAFF, AZ 86004
- **Practice address phone:** (928) 863-7333
- **Practice address fax:** (928) 527-2995
- **Mailing address:** PO BOX 600, TUBA CITY, AZ 86045-0600
- **Mailing address phone:** (928) 283-2501

## Taxonomy

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

## Other

- **Enumeration date:** 03/19/2021
- **Last updated:** 03/19/2021