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NPI

120

Facility Name

http://phongkhamphukhoathaiha.webflow.io/posts/uongthuocphathaicochoconbuduockhong

First Name

http://phongkhamphukhoathaiha.webflow.io/posts/sau-khi-hut-thai-bao-lau-thi-het-ra-mau

Last Name

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

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/tac-dung-phu-cua-thuoc-pha-thai

Physical City

http://phongkhamphukhoathaiha.webflow.io/posts/tac-hai-cua-viec-pha-thai

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

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

Physical Zip Code

122,222

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?

Yes

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

Yes

Dental License Number

http://phongkhamphukhoathaiha.webflow.io/posts/cach-chua-xuat-tinh-som
Created at 2/14/2020 9:30 AM by ***
Last modified at 2/14/2020 9:30 AM by ***