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NPI

 6,464

Facility Name

 replicawatches

First Name

 replica

Last Name

 watches

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

 https://www.unitedluxury.net/

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?

 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?

 No

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

 Yes

Dental License Number

 65416541654
Created at 4/10/2022 11:33 PM by ***
Last modified at 4/10/2022 11:33 PM by ***