WEST COAST MAXILLOFACIAL IMAGING; NPI #1457533663

Contact Information

WEST COAST MAXILLOFACIAL IMAGING

7916 PEBBLE BEACH DR
204
CITRUS HEIGHTS, CA 95610-7790

Phone: 916-961-1032
Fax: 916-961-5712
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental Laboratory	292200000X

Indicates primary specialty

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NPI Profile & details for WEST COAST MAXILLOFACIAL IMAGING

NPI Number 1457533663

LBN Legal business name WEST COAST MAXILLOFACIAL IMAGING

Authorized official CLAUDETTE BUEHLER - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/29/2007

Last updated 11/29/2007 - About 19 years ago

Identifiers

CA	License #	RHP41025
CA	Other	CGP167321	CALIFORNIA CHILDRENS SERV

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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WEST COAST MAXILLOFACIAL IMAGING

Contact Information

Specialty

Dental Laboratory

NPI Profile & details for WEST COAST MAXILLOFACIAL IMAGING

Reviews for WEST COAST MAXILLOFACIAL IMAGING