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NPI

678,756

Facility Name

MaryStjohn

First Name

Mary

Last Name

Stjohn

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

https://tr.canlibahiskrali.com/

Physical City

USA

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

USA

Physical Zip Code

987

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?

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

9865768
Created at 1/23/2020 8:55 AM by ***
Last modified at 1/23/2020 8:55 AM by ***