# WEST COAST MAXILLOFACIAL IMAGING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457533663
- **Authorized official:** MRS. CLAUDETTE L. BUEHLER DRT (OWNER)
- **Authorized official phone:** (916) 961-1032

## Contact information

- **Practice address:** 7916 PEBBLE BEACH DR, 204, CITRUS HEIGHTS, CA 95610-7790
- **Practice address phone:** (916) 961-1032
- **Practice address fax:** (916) 961-5712
- **Mailing address:** 7916 PEBBLE BEACH DR, 204, CITRUS HEIGHTS, CA 95610-7790
- **Mailing address phone:** (916) 961-1032
- **Mailing address fax:** (916) 961-5712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 292200000X | Dental Laboratory | RHP41025 | CA | Yes |

## Other

- **Enumeration date:** 11/29/2007
- **Last updated:** 11/29/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CGP167321 | CALIFORNIA CHILDRENS SERV | CA |