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Organization
RAWLEY H. FULLER, IV, DDS, PA
Active
Organization
RAWLEY H. FULLER, IV, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAWLEY HARRISON FULLER IV DDS, PA (DENTIST & OWNER)
(336) 226-0855
Entity
Organization
Contact information
Practice address
3450 FORESTDALE DR., BURLINGTON, NC 27215-9142
(336) 226-0855
(336) 226-0137
Mailing address
3450 FORESTDALE DR., BURLINGTON, NC 27215-9142
(336) 226-0855
(336) 226-0137
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6491
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8992953
—
NC
Enumeration date
11/15/2006
Last updated
12/19/2014
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