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NPI

452

Facility Name

katherineholman

First Name

Katherine

Last Name

https://mensis.ro/creare-site/

Physical Street Address -- NOTE:  Please return to complete this Survey separately for each physical service location where you provide dental services.

new yeark

Physical City

carlifonia

Physical State (Please use state abbreviation ex: ME for Maine)

new yeark

Physical Zip Code

10,001

Are you currently accepting new MaineCare members?

No

Are you able to accommodate children with special needs?

Yes

Are you able to serve children with mobility issues such as wheelchair ramps and wider doorways?

No

Are you able to provide services to children with complex health needs such as sedation?

Yes

Are you able to provide services to children with intellectual disabilities such as autism?

Yes

Dental License Number

 
Created at 12/29/2021 3:26 AM by ***
Last modified at 12/29/2021 3:26 AM by ***