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NPI

 23,456

Facility Name

 giselagorman

First Name

 https://www.vastinfohub.com

Last Name

 Gorman

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

 california

Physical City

 california

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

 california

Physical Zip Code

 1,234

Are you currently accepting new MaineCare members?

 Yes

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?

 Yes

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 1/15/2022 2:06 AM by ***
Last modified at 1/15/2022 2:06 AM by ***