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1477610269
RUSTAM K DE VITRE
BOSTON, MA
NPI
1477610269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: MA 13701)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
Dr. RUSTAM K DE VITRE D.M.D.
392 COMMONWEALTH AVE
BOSTON, MA 02215-2801
Phone number: 617-236-5969
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Mailing Address
Dr. RUSTAM K DE VITRE D.M.D.
392 COMMONWEALTH AVE
BOSTON, MA 02215-2801
Phone number: 617-236-5969
Copy
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