NPI | 1487196218 |
---|---|
Doing Business As | HENLEY & KELLY |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER JON HENLEY Owner 904-398-1549 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN18997) |
Enumeration Date | 2016-11-10 |
Last Update Date | 2016-11-10 |