# ACCESS DENTAL OF ROSEDALE P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811211261
- **Authorized official:** CAROLYN MAI TRIEU DMD (OWNER)
- **Authorized official phone:** (682) 365-9115

## Contact information

- **Practice address:** 3620 E. ROSEDALE STREET, FORT WORTH, TX 76105
- **Practice address phone:** (682) 365-9115
- **Mailing address:** 3620 E. ROSEDALE STREET, FORT WORTH, TX 76105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2010
- **Last updated:** 03/15/2010