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NPI
505,050
Facility Name
https://xaydungadong.com/projects?work_style%5B%5D=4&work_sector%5B%5D=8&work_location%5B%5D=3
First Name
https://xaydungadong.com/projects?work_style%5B%5D=4&work_sector%5B%5D=8&work_location%5B%5D=4
Last Name
https://xaydungadong.com/projects?work_style%5B%5D=4&work_sector%5B%5D=8&work_location%5B%5D=5
Physical Street Address -- NOTE: Please return to complete this Survey separately for each physical service location where you provide dental services.
https://xaydungadong.com/projects?work_style%5B%5D=4&work_sector%5B%5D=8&work_location%5B%5D=6
Physical City
https://xaydungadong.com/projects?work_style%5B%5D=4&work_sector%5B%5D=8&work_location%5B%5D=7
Physical State (Please use state abbreviation ex: ME for Maine)
https://xaydungadong.com/projects?work_style%5B%5D=4&work_sector%5B%5D=8&work_location%5B%5D=8
Physical Zip Code
180,001
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
https://xaydungadong.com/projects?work_style%5B%5D=4&work_sector%5B%5D=8&work_location%5B%5D=9
Created at 10/10/2022 5:42 AM by ***
Last modified at 10/10/2022 5:42 AM by ***
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