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Individual

DR. KELLY F VIAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

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
0401410742
VA
122300000X
Dentist
Primary
8245
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5904125
NC
Enumeration date
09/29/2005
Last updated
10/05/2013
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