| 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 |