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NPI

6,546

Facility Name

earboxingonline

First Name

earboxin

Last Name

gonline

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

https://tiger24.com/มวยหูออนไลน์

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?

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?

No

Dental License Number

78836783683
Created at 4/12/2022 10:02 AM by ***
Last modified at 4/12/2022 10:02 AM by ***