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NPI

369,258

Facility Name

LigapokerQQ

First Name

LigapokerQQ

Last Name

LigapokerQQ

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

LigapokerQQ Situs Poker Online Terbaik dan Agen Judi Bandarq Terpercaya di Indonesia Lengkap Dengan PKV Games

Physical City

http://54.169.85.217

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

AS

Physical Zip Code

369,258

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?

 

Are you able to provide services to children with complex health needs such as sedation?

 

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

 

Dental License Number

 
Created at 7/13/2020 10:57 AM by ***
Last modified at 7/13/2020 10:57 AM by ***