Organization
ALICIA MIZE RIX, DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA MIZE RIX DMD (PRESIDENT)
(706) 235-4723
Entity
Organization
Contact information
Practice address
57 THREE RIVERS DR NE, ROME, GA 30161-4998
(706) 235-4723
(706) 295-2552
Mailing address
57 THREE RIVERS DR NE, ROME, GA 30161-4998
(706) 235-4723
(706) 295-2552
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
011053
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011053
DENTAL LICENSE #
GA
Enumeration date
08/31/2006
Last updated
08/22/2020
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