Individual
RUCHIEKA VIJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
314 MOODY ST, WALTHAM, MA 02453-5202
(857) 284-2329
Mailing address
202 KATAHDIN DR, LEXINGTON, MA 02421-6437
(857) 284-2329
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858825
MA
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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