Organization
FULLER & ASSOCIATES IV, PLLC
Active
Other names
Kildaire Family & Cosmetic 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, SUITE 310, CARY, NC 27518
(919) 342-8509
Mailing address
3420 TEN-TEN ROAD, SUITE 310, CARY, NC 27518
(919) 342-8509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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