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DR. HUGH MATTHEW ELTGROTH D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1821143496

Individual Registrant:
DR. HUGH MATTHEW ELTGROTH D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
211 LAUREL LN  CHESTER, CA 96020 US
Tel: 530-258-2201  Fax: 530-258-3134

Contact information for business:
PO BOX 1220  CHESTER, CA 96020-1220 US
Tel: 530-258-2201  Fax: 530-258-3134

Registration Information:
NPI: 1821143496
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA27273
N1223G0001XDental Providers
Dentist
UT6396566-9921

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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