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1821623901
DESTIN DENTAL CARE LLC
DESTIN, FL
NPI
1821623901
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Entity Type
Organization
Authorized Contact
HENRY PAUL KELLUM
Owner
850-837-6645
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2020-03-09
Last Update Date
2020-03-09
Business Address
DESTIN DENTAL CARE LLC
985 AIRPORT ROAD
DESTIN, FL 32541-2835
Phone number: 850-837-6645
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Mailing Address
DESTIN DENTAL CARE LLC
985 AIRPORT ROAD
DESTIN, FL 32541-2835
Phone number: 850-837-6645
Copy
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