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NPI

 891

Facility Name

 https://slides.com/careprost

First Name

 stella

Last Name

 https://www.gov.bn/Lists/Event%20Registration/Item/displayifs.aspx?List=e428a6b0%2Dd2f9%2D4edf%2Dad98%2D33fea1047c0e&ID=6011&Source=https%3A%2F%2Fwww%2Egov%2Ebn%2FLists%2FEvent%2520Registration%2Fmy%2Dsub%2Easpx%3FRootFolder%3D%252FLists%252FEvent%2520Reg

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

 https://genericaura.com/product/careprost-eye-drops/

Physical City

 Los Angeles

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

 California

Physical Zip Code

 90,007

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 6/7/2022 9:18 AM by ***
Last modified at 6/7/2022 9:18 AM by ***