Individual
DR. RUSTOM F MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1087 BEACON STREET, NEWTON, MA 02459
(617) 332-8862
(617) 332-4291
Mailing address
1087 BEACON STREET, NEWTON, MA 02459
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
17967
MA
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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