Dr. Rawley Harrison Fuller III, DDS
Dentist, General Practice in Burlington, NC. Individual provider (NPI-1).
NPI number1306961024
StatusActive
Last updated in NPPESJan 30, 2008
Details
- NPI
- 1306961024
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rawley Harrison Fuller III
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2007
- Last updated
- Jan 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3352 | NC | Yes |
Practice location
3450 Forestdale DrBurlington, NC 27215-9142
Phone 336-226-0855 · Fax 336-226-0137
Mailing address
3450 Forestdale DrBurlington, NC 27215-9142
Phone 336-226-0855 · Fax 336-226-0137
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