| NPI | 1912082603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J JERVINIS President 978-744-5912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 14777) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-11-28 |