Organization
FULLER & ASSOCIATES 11, PLLC
Active
Other names
Stonehenge Family & Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAWLEY H FULLER IV DDS (OWNER)
(336) 213-0549
Entity
Organization
Contact information
Practice address
8015 CREEDMOOR RD STE 202, RALEIGH, NC 27613-4397
(919) 847-8747
Mailing address
3450 FORESTDALE DR, BURLINGTON, NC 27215-9142
(336) 586-5010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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