Individual
DR. RAWLEY HARRISON FULLER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PA
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
11/20/2008
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