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DR. HUGH MATTHEW ELTGROTH D.D.S.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1821143496
Individual Registrant:DR. HUGH MATTHEW ELTGROTH D.D.S.
Gender: M
Sole Proprietor
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
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
Tel: 530-258-2201 Fax: 530-258-3134
Registration Information:
NPI: 1821143496
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | CA | 27273 |
| N | 1223G0001X | Dental Providers Dentist | UT | 6396566-9921 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
