Rawley Harrison Fuller, DDS Valid NPI

Individual provider · General Practice Dentistry · Burlington, NC

NPI

1306961024

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

3352 (NC)

Sex

Male

Sole proprietor

No

Enumerated

2007-03-20

Last updated

2008-01-30