RUSTAM K DE VITRE

BOSTON, MA
NPI1477610269
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: MA  13701)
Enumeration Date2007-01-02
Last Update Date2007-07-08
Business Address
Dr. RUSTAM K DE VITRE D.M.D.
392 COMMONWEALTH AVE
BOSTON, MA 02215-2801
Phone number: 617-236-5969
Mailing Address
Dr. RUSTAM K DE VITRE D.M.D.
392 COMMONWEALTH AVE
BOSTON, MA 02215-2801
Phone number: 617-236-5969