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NPI

120

Facility Name

https://infogram.com/chi-phi-cat-bao-quy-dau-het-bao-nhieu-tien-phau-thuat-1h0r6rq8n3mw4ek

First Name

https://www.linkedin.com/pulse/chi-phi-kham-nam-khoa-het-bao-nhieu-tien-thuy-tien-pipi/

Last Name

https://www.linkedin.com/pulse/chua-benh-xuat-tinh-som-thuy-tien-pipi/

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

https://infogram.com/dau-tinh-hoan-kham-o-dau-ha-noi-tot-nhat-1h0n25j9qr0z6pe

Physical City

https://trello.com/chiphiphathaibaotienvay

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

https://trello.com/cachphathai 

Physical Zip Code

10,000,000,000

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?

Yes

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

Yes

Dental License Number

https://trello.com/diachiphathaiantoan
Created at 2/14/2020 8:29 AM by ***
Last modified at 2/14/2020 8:29 AM by ***