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NPI

21,244,353

Facility Name

http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3592/chi-phi-va-mang-trinh.htm  http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3683/tep-tai-lieu-tham-khao.htm?chi-phi-kham-phu-khoa.html

First Name

http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3683/tep-tai-lieu-tham-khao.htm?chua-viem-lo-tuyen-co-tu-cung-o-dau.html  http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3683/tep-tai-lieu-tham-khao.htm?chi-phi-dot

Last Name

http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3587/chi-phi-pha-thai-hut-thai.htm  http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3420/thuoc-pha-thai-khan-cap-gia-bao-nhieu.htm

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

http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3661/dia-chi-pha-thai-o-dau-an-toan-tai-ha-noi.htm  http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3669/chi-phi-pha-thai-bang-thuoc.htm

Physical City

http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3511/phong-kham-chua-benh-tri-o-dau.htm  http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3675/dia-chi-phong-kham-chua-benh-tri.htm

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

http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3474/chi-phi-cat-tri-het-bao-nhieu-tien.htm  http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3510/cach-chua-tri-benh-tri-tai-nha.htm

Physical Zip Code

1,343,311

Are you currently accepting new MaineCare members?

Yes

Are you able to accommodate children with special needs?

No

Are you able to serve children with mobility issues such as wheelchair ramps and wider doorways?

No

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://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3591/cach-chua-tri-hoi-nach-tai-nha.htm  http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3683/tep-tai-lieu-tham-khao.htm?cat-tuyen-mo-hoi-nach.html
Created at 11/21/2022 9:46 PM by ***
Last modified at 11/21/2022 9:46 PM by ***