ANDREA PROFETA

BOSTON, MA
NPI1386190387
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MA  DL13052)
Enumeration Date2016-08-30
Last Update Date2016-08-30
Business Address
-- ANDREA PROFETA
188 LONGWOOD AVE
BOSTON, MA 02115-5819
Phone number: 617-432-1434
Mailing Address
-- ANDREA PROFETA
114 EMERALD ST
MALDEN, MA 02148-6337
Phone number: