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NPI

 938,666,007

Facility Name

 thám tủ

First Name

 phúc

Last Name

 tâm

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

 https://genz.shop/tui-deo-cheo-genz-gz/

Physical City

 https://thamtuuylong.com/dich-vu-tim-con-no-doi-tuong-lua-dao-tron-no.html

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

 https://thamtumailinh.com/gia-thue-dich-vu-tham-tu/

Physical Zip Code

 21,757,672

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

 http://phongkhamphuongdo.wikidot.com/home:home
Created at 9/8/2021 5:26 AM by ***
Last modified at 9/8/2021 5:26 AM by ***