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NPI

 45,253

Facility Name

 mature sex videos

First Name

 Magda

Last Name

 Hollman

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

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Physical City

 Maine

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

 Maine

Physical Zip Code

 32,523

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?

 No

Dental License Number

  
Created at 12/16/2019 6:07 AM by ***
Last modified at 12/16/2019 6:07 AM by ***