DR. Ida Lynn Rose-Mize, DDS

NPI #1972673135 in Lithia Springs, Georgia

Provider Information

NPI Number
1972673135
Entity Type
Individual
Name
DR. Ida Lynn Rose-Mize, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Pediatric Dentistry
Credential
DDS
Enumeration Date
Nov 8, 2006
Last Updated
Mar 15, 2017

Practice Location

Address
540 THORNTON RD
State
Georgia
ZIP Code
30122-1591
Phone
(770) 745-5897

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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