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NPI

 87,584,578

Facility Name

 Situsjudibatman

First Name

 Situsjudi

Last Name

 batman

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

 Florida, miami

Physical City

 Florida

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

 http://162.210.70.241

Physical Zip Code

 10,001

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

 8769856789796789
Created at 5/25/2023 10:58 PM by ***
Last modified at 5/25/2023 10:58 PM by ***