| NPI | 1194301234 |
|---|---|
| Doing Business As | SACRED PEAKS HEALTH CENTER DENTAL |
| Entity Type | Organization |
| Authorized Contact | LYNETTE BONAR Chief Executive Officer 928-283-2501 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-03-19 |