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Organization
WEST COAST MAXILLOFACIAL IMAGING
Active
Organization
WEST COAST MAXILLOFACIAL IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDETTE L. BUEHLER DRT (OWNER)
(916) 961-1032
Entity
Organization
Contact information
Practice address
7916 PEBBLE BEACH DR, 204, CITRUS HEIGHTS, CA 95610-7790
(916) 961-1032
(916) 961-5712
Mailing address
7916 PEBBLE BEACH DR, 204, CITRUS HEIGHTS, CA 95610-7790
(916) 961-1032
(916) 961-5712
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
RHP41025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CGP167321
CALIFORNIA CHILDRENS SERV
CA
Enumeration date
11/29/2007
Last updated
11/29/2007
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