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NPI

 234

Facility Name

 Pham

First Name

 Van

Last Name

 Trung

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

 https://dienmayhoanglien.vn/may-cha-san.html

Physical City

 Nam Từ Liêm

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

 Hà Nội

Physical Zip Code

 100,000

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 5/29/2021 4:39 AM by ***
Last modified at 5/29/2021 4:39 AM by ***