Organization
FULLER & ASSOCIATES 12, PLLC
Active
Other names
Hillsborough Family & Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAWLEY FULLER IV (OWNER)
(336) 213-0549
Entity
Organization
Contact information
Practice address
118 MILLSTONE DR, HILLSBOROUGH, NC 27278-8775
(919) 732-4041
Mailing address
3450 FORESTDALE DR, BURLINGTON, NC 27215-9142
(336) 586-5010
(336) 586-5015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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