select
Online Help Help

Manage PermissionsManage Permissions

NPI

12

Facility Name

 https://phongkhamhungthinh.com.vn/hoi-nach-nguyen-nhan-va-cach-tri-hoi-nach-tai-nha.html https://phongkhamhungthinh.com.vn/top-10-cach-tri-hoi-nach-tai-nha-don-gian-hieu-qua-vinh-vien.html

First Name

 https://phongkhamhungthinh.com.vn/7-cach-ngan-mo-hoi-nach-ra-nhieu-hieu-qua-tuc-thi.html https://phongkhamhungthinh.com.vn/9-cach-lam-giam-mui-hoi-nach-tai-nha-hieu-qua-cao.html

Last Name

 https://phongkhamhungthinh.com.vn/viem-duong-tiet-nieu-o-nu-nguyen-nhan-dau-hieu-cach-chua.html https://phongkhamhungthinh.com.vn/viem-duong-tiet-nieu-sau-sinh-nguyen-nhan-cach-dieu-tri.html

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

 https://phongkhamhungthinh.com.vn/herpes-sinh-duc-trieu-chung-nguyen-nhan-va-dieu-tri.html https://phongkhamhungthinh.com.vn/phuong-phap-dieu-tri-mun-rop-sinh-duc-herpes-sinh-duc-hieu-qua.html

Physical City

 https://phongkhamhungthinh.com.vn/viem-lo-tuyen-co-tu-cung-nguyen-nhan-trieu-chung-dieu-tri.html https://phongkhamhungthinh.com.vn/viem-buong-trung-nguyen-nhan-dau-hieu-va-cach-dieu-tri.html

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

 https://phongkhamhungthinh.com.vn/viem-am-dao-nguyen-nhan-trieu-chung-cach-chua-tri.html https://phongkhamhungthinh.com.vn/top-10-cach-chua-viem-am-dao-tai-nha-hieu-qua-nhat.html

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?

Yes

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

Yes

Dental License Number

 
Created at 9/27/2022 10:50 PM by ***
Last modified at 9/27/2022 10:50 PM by ***