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NPI

4,654,654

Facility Name

bintang4dpgems

First Name

bingems

Last Name

tang4dp

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

https://www.bastianbintang.com

Physical City

los angles

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

california

Physical Zip Code

90,011

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

6565464516
Created at 3/24/2022 1:31 AM by ***
Last modified at 3/24/2022 1:31 AM by ***