Organization
TUBA CITY REGIONAL HEALTH CARE CORPORATION
Active
Parent organization
TUBA CITY REGIONAL HEALTHCARE CORPORATION
Other names
Sacred Peaks Health Center Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
TUBA CITY REGIONAL HEALTHCARE CORPORATION
Authorized official
LYNETTE BONAR (CHIEF EXECUTIVE OFFICER)
(928) 283-2501
Entity
Organization
Contact information
Practice address
6300 N HIGHWAY 89, FLAGSTAFF, AZ 86004
(928) 863-7333
(928) 527-2995
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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