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NPI

6,533

Facility Name

Maris

First Name

Wege

Last Name

https://musicallyfanspremium.info

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

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Physical City

Regos

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

Mine

Physical Zip Code

20,111

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?

 

Dental License Number

 
Created at 6/18/2019 2:19 PM by ***
Last modified at 6/18/2019 2:19 PM by ***