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NPI

24

Facility Name

PaulaRussell

First Name

Paula

Last Name

Russell

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

Vietnam

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

Vietnam

Physical Zip Code

84,046

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?

 

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 12/15/2020 6:45 AM by ***
Last modified at 12/15/2020 6:45 AM by ***