Organization · Type 2 NPI
Rustam K. de Vitre, DMD
Prosthodontics · Boston, MA
NPI number
1457577884
Active
Practice location
392 Commonwealth Ave
Boston, MA 02215
Fax (617) 424-6298
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Endodontics | 1223E0200X | 20322 (MA) |
| Periodontics | 1223P0300X | 18265 (MA) |
| Prosthodontics Primary | 1223P0700X | 13701 (MA) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
4 other providers at this address
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- Park Prosthodontics, PLLCProsthodontics Boston, MA NPI 1164078655
- Dental Specialists of Boston PCProsthodontics Boston, MA NPI 1184148918
About NPI 1457577884
Rustam K. de Vitre, DMD's National Provider Identifier is 1457577884, issued on Apr 17, 2007. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Boston, MA. The record was last updated on Aug 27, 2008.