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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUSTAM K. DE VITRE, DMD

Active Organization

RUSTAM K. DE VITRE, DMD is a Pediatric Dentistry organization located in BOSTON, Massachusetts. NPI 1457577884 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · BOSTON, MA

Registration Details

NPI Number
1457577884
Provider Type
Organization
NPI Issued
Apr 17, 2007 (19.145220809748 yrs)
Last Updated
Aug 27, 2008
Licenses
18265 (MA)
20322 (MA)
13701 (MA)

Practice Information

Address
392 COMMONWEALTH AVE
BOSTON, MA, 02215
Browse MA providers · Browse ZIP 02215
Phone
6172365969
Fax
6174246298
Primary Specialty
Pediatric Dentistry
1223P0700X
Additional Specialty
Endodontics
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Organizations in BOSTON, MA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.