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NPI

 110,045

Facility Name

 crypto signal

First Name

 thomas

Last Name

 rob

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

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Physical City

 delhi

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

 delhi

Physical Zip Code

 110,045

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 2/3/2022 1:29 AM by ***
Last modified at 2/3/2022 1:29 AM by ***