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NPI

 454,232

Facility Name

 Eiolfs

First Name

 Horacio

Last Name

 Harman

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

 New York

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

 New York

Physical Zip Code

 221,554

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?

 Yes

Are you able to provide services to children with complex health needs such as sedation?

  

Are you able to provide services to children with intellectual disabilities such as autism?

  

Dental License Number

  
Created at 1/27/2020 3:26 AM by ***
Last modified at 1/27/2020 3:26 AM by ***