Henry Paul Kellum, D.D.S.

NPI #1780753673 in Destin, Florida

Provider Information

NPI Number
1780753673
Entity Type
Individual
Name
Henry Paul Kellum, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Nov 7, 2006
Last Updated
Jul 8, 2007

Practice Location

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

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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