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NPI

12

Facility Name

berylcorbin

First Name

Beryl1234

Last Name

https://wikibily.com

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

kjhm

Physical City

uk

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

uk

Physical Zip Code

10,001

Are you currently accepting new MaineCare members?

No

Are you able to accommodate children with special needs?

No

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

42045340540
Created at 1/5/2022 1:48 AM by ***
Last modified at 1/5/2022 1:48 AM by ***