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DXC

Quarterly Dental Provider Survey

NPI	123
Facility Name	<a href="https://top10timkiem.vn/">top 10 tìm kiếm</a> <a href="https://top10timkiem.vn/">https://top10timkiem.vn/</a> <a href="https://medimart.com.vn/">https://medimart.com.vn/</a>
First Name	<a href="https://top10timkiem.vn/">top 10 tìm kiếm</a> <a href="https://top10timkiem.vn/">https://top10timkiem.vn/</a> <a href="https://medimart.com.vn/">https://medimart.com.vn/</a>
Last Name	<a href="https://top10timkiem.vn/">top 10 tìm kiếm</a> <a href="https://top10timkiem.vn/">https://top10timkiem.vn/</a> <a href="https://medimart.com.vn/">https://medimart.com.vn/</a>
Physical Street Address -- NOTE: Please return to complete this Survey separately for each physical service location where you provide dental services.	<a href="https://top10timkiem.vn/">top 10 tìm kiếm</a> <a href="https://top10timkiem.vn/">https://top10timkiem.vn/</a> <a href="https://medimart.com.vn/">https://medimart.com.vn/</a>
Physical City	<a href="https://top10timkiem.vn/">top 10 tìm kiếm</a> <a href="https://top10timkiem.vn/">https://top10timkiem.vn/</a> <a href="https://medimart.com.vn/">https://medimart.com.vn/</a>
Physical State (Please use state abbreviation ex: ME for Maine)	<a href="https://top10timkiem.vn/">top 10 tìm kiếm</a> <a href="https://top10timkiem.vn/">https://top10timkiem.vn/</a> <a href="https://medimart.com.vn/">https://medimart.com.vn/</a>
Physical Zip Code	74,000
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	<a href="https://top10timkiem.vn/">top 10 tìm kiếm</a> <a href="https://top10timkiem.vn/">https://top10timkiem.vn/</a> <a href="https://medimart.com.vn/">https://medimart.com.vn/</a>

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