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NPI

25

Facility Name

Immersive Display

First Name

Immersive Display

Last Name

https://immersive-display.com/fr/a...ort-quest-2.html

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

na

Physical City

puri

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

cuttack

Physical Zip Code

15,848

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?

No

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

 

Dental License Number

 
Created at 10/10/2020 7:24 AM by ***
Last modified at 10/10/2020 7:24 AM by ***