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NPI

 3,323

Facility Name

 Wet_Weekend

First Name

 Wet_Weekend

Last Name

 Wet_Weekend

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

 https://en.wikipedia.org/wiki/File:Wet_Weekend.png

Physical City

 Maine

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

 Maine

Physical Zip Code

 12,345

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?

 No

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

 No

Dental License Number

  
Created at 5/18/2021 5:37 AM by ***
Last modified at 5/18/2021 5:37 AM by ***