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NPI

54,541

Facility Name

resultmacau

First Name

resultmacau

Last Name

resultmacau

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

zhozefina.khlyu.khlyustova@mail.ru

Physical City

New york

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

New York

Physical Zip Code

10,001

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

https://128.199.162.211/
Created at 8/30/2021 5:01 AM by ***
Last modified at 8/30/2021 5:01 AM by ***