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NPI

548

Facility Name

Partaiqq

First Name

Ajaya

Last Name

Bagha

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

dominoqqer online- http://94.46.60.6

Physical City

Newyork

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

Ambla

Physical Zip Code

25,478

Are you currently accepting new MaineCare members?

No

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?

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

 
Created at 7/8/2020 1:42 AM by ***
Last modified at 7/8/2020 1:42 AM by ***