The Children's Dental Group, LLC
NPI #1851439459 in Lithia Springs, Georgia
Provider Information
- NPI Number
- 1851439459
- Entity Type
- Organization
- Organization Name
- The Children's Dental Group, LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Feb 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 560 THORNTON RD
- Address 2
- SUITE 203
- City
- Lithia Springs
- State
- Georgia
- ZIP Code
- 30122-1655
- Phone
- (770) 234-4859
Authorized Official
- Name
- DR. IDA LYNN ROSE-MIZE, DDS
- Title
- PEDIATRIC DENTIST
- Phone
- (770) 941-8802
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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