Rose-Mize, Ida Lynn

Rose-Mize, Ida Lynn is an individual health care provider with primary practice located at 540 Thornton Rd , Lithia Springs GA 30122-1591. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Rose-Mize, Ida Lynn can be contacted via phone (770) 745-5897.

Contact Information

Primary practice address
540 Thornton Rd Lithia Springs GA 30122-1591
Phone: (770) 745-5897
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN012631 Georgia

Profile Details

NPI number 1972673135
LBN Legal business name Rose-Mize, Ida Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Mar 15th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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