Samuel Ustayev, DMD
NPI #1811538705 in Brookline, Massachusetts
Provider Information
- NPI Number
- 1811538705
- Entity Type
- Individual
- Name
- Samuel Ustayev, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Oct 2, 2019
- Last Updated
- Oct 23, 2022
Practice Location
- Address
- 367 HARVARD ST
- City
- Brookline
- State
- Massachusetts
- ZIP Code
- 02446-2938
- Phone
- (617) 277-1112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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