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NPI

2

Facility Name

33WIN ✔ Nhà Cái Cá Cược Hàng Đầu Việt Nam

First Name

d

Last Name

d

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

d

Physical City

d

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

d

Physical Zip Code

2

Are you currently accepting new MaineCare members?

Yes

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?

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?

No

Dental License Number

33WIN ✔ Nhà Cái Cá Cược Hàng Đầu Việt Nam Website: https://33win33.my/ 
Created at 1/13/2025 10:07 PM by ***
Last modified at 1/13/2025 10:07 PM by ***