Organization
FULLER & ASSOCIATES IV, P.A.
Active
Other names
Kildaire Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD RUMLEY SPHR (MANAGING DIRECTOR)
(336) 226-0855
Entity
Organization
Contact information
Practice address
3420 TEN-TEN ROAD #310, CARY, NC 27518-6101
(919) 342-8509
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
—
—
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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