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NPI

123,322,332

Facility Name

Roland Fortin

First Name

Claude Tremblay

Last Name

Grégory Gauthier

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

Auberon Hébert

Physical City

Renard Archambault

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

Beaumont Allard

Physical Zip Code

789,457

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://www.transkerja.com/2020/06/abs-anti-lock-braking-system.html http://support.momizat.com/forums/users/yvainansellaucoin/ https://nianow.com/mesotheliomacompensationforfamilymembers https://logopond.com/chihironagata/profile/425723 http://forums.tec
Created at 6/9/2020 12:11 AM by ***
Last modified at 6/9/2020 12:11 AM by ***