Paul Kellum, DDS

NPI #1033525431 in Destin, Florida

Provider Information

NPI Number: 1033525431
Entity Type: Organization
Organization Name: Paul Kellum, DDS
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 7, 2014
Last Updated: Jul 7, 2014

Practice Location

Address: 985 AIRPORT RD
City: Destin
State: Florida
ZIP Code: 32541-2835
Phone: (850) 837-6645

Authorized Official

Name: DR. HENRY PAUL KELLUM, D.D.S.
Title: OWNER
Phone: (850) 837-6645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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