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NPI

120

Facility Name

http://phongkhamphukhoathaiha.webflow.io/posts/chi-phi-pha-thai-bang-thuoc-bao-nhieu-tien

First Name

http://phongkhamphukhoathaiha.webflow.io/posts/cach-pha-thai-an-toan

Last Name

http://phongkhamphukhoathaiha.webflow.io/posts/dia-chi-pha-thai-an-toan-o-dau

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

http://phongkhamphukhoathaiha.webflow.io/posts/cach-pha-thai-bang-thuoc-an-toan

Physical City

http://phongkhamphukhoathaiha.webflow.io/posts/thuoc-pha-thai-khan-cap

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

http://phongkhamphukhoathaiha.webflow.io/posts/uong-thuoc-pha-thai-bi-dau-bung-trong-bao-lau

Physical Zip Code

100,000

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?

No

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

No

Dental License Number

http://phongkhamphukhoathaiha.webflow.io/posts/pha-thai-1-thang-tuoi
Created at 2/14/2020 9:28 AM by ***
Last modified at 2/14/2020 9:28 AM by ***