Organization
FULLER & ASSOCIATES II, P.A.
Active
Other names
McLeansville Family & Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNETTE F STRAUGHAN (DIRECTOR OF OPERATIONS)
(336) 343-4532
Entity
Organization
Contact information
Practice address
5706 MCLEANSVILLE RD, MC LEANSVILLE, NC 27301-9303
(336) 697-0618
Mailing address
3450 FORESTDALE DR, BURLINGTON, NC 27215-9142
(336) 343-4532
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
12/19/2019
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