Individual
DR. IDA LYNN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
540 THORNTON RD, LITHIA SPRINGS, GA 30122-1591
(770) 745-5897
Mailing address
540 THORNTON RD, LITHIA SPRINGS, GA 30122-1591
(770) 745-5886
(770) 745-5897
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012631
GA
Other
Enumeration date
11/08/2006
Last updated
04/28/2026
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