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NPI

 4,364,676

Facility Name

 etruesports.com

First Name

 https://etruesports.com/

Last Name

 georgex98@outlook.com

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

 georgex98

Physical City

 9842530130

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

 etruesports.com

Physical Zip Code

 2,345,457

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://etruesports.com/
Created at 2/16/2023 1:46 AM by ***
Last modified at 2/16/2023 1:46 AM by ***