HENRY PAUL KELLUM

DESTIN, FL
NPI1780753673
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  10931)
Enumeration Date2006-11-07
Last Update Date2007-07-08
Business Address
-- HENRY PAUL KELLUM d.d.s.
985 AIRPORT RD
DESTIN, FL 32541-2835
Phone number: 850-837-6645
Mailing Address
-- HENRY PAUL KELLUM d.d.s.
985 AIRPORT RD
DESTIN, FL 32541-2835
Phone number: 850-837-6645
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