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NPI

 875

Facility Name

 amita

First Name

 amita

Last Name

 https://www.toromontcat.com/newproducts/406-equipment/482-dozers

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

 nayagarh

Physical City

 odisha

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

 doisha

Physical Zip Code

 87,542

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?

  

Are you able to provide services to children with complex health needs such as sedation?

  

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

  

Dental License Number

  
Created at 11/30/2020 2:21 AM by ***
Last modified at 11/30/2020 2:21 AM by ***