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NPI

541

Facility Name

jasmini

First Name

jasmini

Last Name

https://viettelnet.vn/chu-ky-so-viettel-ca

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

odisha

Physical City

nayagarh

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

dasaplla

Physical Zip Code

45,125

Are you currently accepting new MaineCare members?

No

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?

No

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

No

Dental License Number

 
Created at 11/3/2020 7:12 AM by ***
Last modified at 11/3/2020 7:12 AM by ***