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NPI

 400

Facility Name

 Gadai bpkb Mobil

First Name

 gadai bpkb

Last Name

 mobil

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

 Mandiri Pinjaman Dana https://www.mandiripinjamandana.com/

Physical City

 Gadai BPKB Mobil https://www.mandiripinjamandana.com/2017/12/gadai-bpkb-mobil.html

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

 Kredit Mobil Bekas https://www.mandiripinjamandana.com/2018/01/kredit-mobil-bekas.html

Physical Zip Code

 2,196,198

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

  
Created at 7/16/2019 10:52 AM by ***
Last modified at 7/16/2019 10:52 AM by ***