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NPI

123,456

Facility Name

English

First Name

Vocabulary

Last Name

englishtivi

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

https://bvtt-tphcm.org.vn/cau-hoi/english-vocabulary/ https://dongtrieu.quangninh.gov.vn/trang/chi-tiet-cau-hoi.aspx?q=29059 http://thongke.dongnai.gov.vn/Lists/HisCounter/DispForm.aspx?ID=99711&ContentTypeId=0x01003AC3E9B31087484C90C650786A0B5952 http://

Physical City

http://vpubnddonggiang.gov.vn/Default.aspx?tabid=65&TLID=22617 http://www.dpi.hochiminhcity.gov.vn/Lists/GopY/DispForm.aspx?ID=5811 http://www.cuchi.hochiminhcity.gov.vn/Lists/Hoi_Dap_DB/DispForm.aspx?ID=7589 http://quan2.hochiminhcity.gov.vn/Lists/GopYVB

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

https://englishtivi.com/vocabulary/ https://bvtt-tphcm.org.vn/cau-hoi/english-vocabulary/ https://dongtrieu.quangninh.gov.vn/trang/chi-tiet-cau-hoi.aspx?q=29059 http://thongke.dongnai.gov.vn/Lists/HisCounter/DispForm.aspx?ID=99711&ContentTypeId=0x01003AC3

Physical Zip Code

94,501

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 5/11/2022 5:14 AM by ***
Last modified at 5/11/2022 5:14 AM by ***