Organization
KELLY F. VIAU, D.D.S., P.A.
Active
Other names
Peak City Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY FRYE VIAU D.D.S. (PRESIDENT)
(919) 362-8797
Entity
Organization
Contact information
Practice address
103 N SALEM ST, APEX, NC 27502-1427
(919) 362-8797
(919) 362-1476
Mailing address
103 N SALEM ST, APEX, NC 27502-1427
(919) 362-8797
(919) 362-1476
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8245
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904125
—
NC
Enumeration date
10/05/2013
Last updated
10/05/2013
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