Individual
DR. ALESSIA DE VIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-4762
Mailing address
1 DEVONSHIRE PL, APT 1412, BOSTON, MA 02109-3510
(857) 200-8269
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DL12767
MA
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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