Organization
ACCESS DENTAL OF ILLINOIS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN MAI TRIEU DMD (OWNER)
(214) 337-7200
Entity
Organization
Contact information
Practice address
2304 W ILLINOIS AVE, DALLAS, TX 75224
(214) 337-7200
Mailing address
2304 W ILLINOIS AVE, DALLAS, TX 75224
(214) 337-7200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21449
TX
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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