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NPI

250

Facility Name

LUWAKPOKER

First Name

LUWAKPOKER

Last Name

https://luwakpoker1.com

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

cuttack

Physical City

puri

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

delhi

Physical Zip Code

15,487

Are you currently accepting new MaineCare members?

No

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?

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 11/21/2020 7:29 AM by ***
Last modified at 11/21/2020 7:29 AM by ***