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Dr. Rex Eldon Grizzle, DDS
General Practice Dentistry in Pine Valley, California
NPI 1497818108

Rex Eldon Grizzle is a General Practice Dentistry based in Pine Valley, CA and is specialized in General Practice. Rex Eldon Grizzle practices in Pine Valley, CA and has the professional credentials of DDS. The NPI Number for Rex Eldon Grizzle is 1497818108 and holds a License No. 28699 (California).

The current practice location address for Rex Eldon Grizzle is 28914 Old Hwy 80, Pine Valley, CA and can be reached out via phone at 619-473-8735 and via fax at 619-473-8625.

Location: 28914 Old Hwy 80, Pine Valley, CA, 91962-0839
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497818108
Provider Name
Rex Eldon Grizzle
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
28914 Old Hwy 80, Pine Valley, CA, 91962-0839
Phone Number
619-473-8735
Fax Number
619-473-8625
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28699 01 CA STATE DENTAL LICENSE #
institution
Provider Business Practice Location Address Details
Address
28914 Old Hwy 80
City
Pine Valley
State
California
Zip
91962
Phone Number
619-473-8735
Fax Number
619-473-8625
person
Provider Business Mailing Address Details
Address
28914 Old Hwy 80
City
Pine Valley
State
California
Zip
91962
Phone Number
619-473-8735
Fax Number
619-473-8625
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
28699 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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