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NPI

 789,654

Facility Name

 Kori

First Name

 Kori

Last Name

 https://928hd.com/

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

 Anderson

Physical City

 Anderson

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

 Anderson

Physical Zip Code

 10,001

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

 89665
Created at 1/17/2022 12:29 AM by ***
Last modified at 1/17/2022 12:29 AM by ***