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NPI

 123

Facility Name

 chichlive

First Name

 chichlive

Last Name

 chichlive

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

 chichlive

Physical City

 chichlive

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

 chichlive

Physical Zip Code

 132,623

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?

  

Are you able to provide services to children with intellectual disabilities such as autism?

  

Dental License Number

 https://chichlive.app
Created at 4/8/2022 6:41 AM by ***
Last modified at 4/8/2022 6:41 AM by ***