Organization
SANDRA L. FULLER,DDS,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA FULLER DDS (PRES.)
(336) 379-1206
Entity
Organization
Contact information
Practice address
1515 W CORNWALLIS DR, GREENSBORO, NC 27408-6338
(336) 379-1206
(336) 379-1733
Mailing address
1515 W CORNWALLIS DR, GREENSBORO, NC 27408-6338
(336) 379-1206
(336) 379-1733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6821
NC
Other
Enumeration date
08/15/2006
Last updated
08/22/2020
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