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Organization
PAUL KELLUM, DDS
Active
Organization
PAUL KELLUM, DDS
Active
Other names
Destin Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY PAUL KELLUM D.D.S. (OWNER)
(850) 837-6645
Entity
Organization
Contact information
Practice address
985 AIRPORT RD, DESTIN, FL 32541-2835
(850) 837-6645
(850) 650-8553
Mailing address
985 AIRPORT RD, DESTIN, FL 32541-2835
(850) 837-6645
(850) 650-8553
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10931
FL
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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