Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. REX ELDON GRIZZLE, DDS
Active Sole ProprietorGeneral Dentistry · PINE VALLEY, CA
Registration Details
- NPI Number
- 1497818108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 18, 2006 (19.385001850352 yrs)
- Last Updated
- Jul 8, 2007
- License
-
28699 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
28914 OLD HWY 80SUITE 104PINE VALLEY, CA, 91962Browse CA providers · Browse ZIP 91962
- Phone
- 6194738735
- Fax
- 6194738625
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.