Individual
DR. AKSHAY VIJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
195 S MAIN ST, DUPO, IL 62239-1347
(618) 286-4400
Mailing address
4643 LINDELL BLVD APT 1014, SAINT LOUIS, MO 63108-3736
(310) 869-8152
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.030501
IL
122300000X
Dentist
Primary
2015021494
MO
122300000X
Dentist
2020030635
MO
122300000X
Dentist
60509168
WA
122300000X
Dentist
DDS105564
CA
Other
Enumeration date
07/14/2015
Last updated
11/02/2021
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