Rustam De Vitre, D.M.D

NPI 1477610269 · on the registry since 2007 · sole proprietor

Practice

Address: 392 Commonwealth Ave
Boston, MA 02215
Phone: (617) 236-5969
Fax: (617) 424-6265
Organisation at this address: The Face Dental Group
Rustam K. De Vitre, Dmd
The Face Center For General Dentistry
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Prosthodontics
1223P0700X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts