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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