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NPI

 465,365

Facility Name

 http://admin.rostercoster.com/Lists/OldParadians/DispForm.aspx?ID=8197

First Name

 http://www.ips.org/blog/magpierss/scripts/magpie_slashbox.php?rss_url=http://bit.ly/3wLSqys

Last Name

 https://userpages.umbc.edu/~jianwu/is651/programs/ch11/magpie/scripts/magpie_debug.php?url=http://bit.ly/3wLSqys

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

 http://www.sahten.com/magpierss/scripts/magpie_slashbox.php?rss_url=http://bit.ly/3wLSqys

Physical City

 ME for Maine

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

 https://old.acoustica.com/cgi/rss/scripts-test/magpie_debug.php?url=http://bit.ly/3wLSqys

Physical Zip Code

 45,435

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

 http://datafedwiki.wustl.edu/extensions/magpierss-0.71.1/scripts/magpie_slashbox.php?rss_url=http://bit.ly/3wLSqys
Created at 5/27/2022 5:25 PM by ***
Last modified at 5/27/2022 5:25 PM by ***