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Organization

FULLER & ASSOCIATES 14, PLLC

Active
Other names
Irving Park Family & Cosmetic Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHAD RUMLEY (COO)
(336) 586-5012
Entity
Organization

Contact information

Practice address
1515 W CORNWALLIS DR STE 120, GREENSBORO, NC 27408-6334
(336) 379-1207
Mailing address
3450 FORESTDALE DR, BURLINGTON, NC 27215-9142
(336) 586-5012

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
06/16/2025
Last updated
06/16/2025
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