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NPI

22,323

Facility Name

na

First Name

moonrock carts     https://officialmoonrockshop.com

Last Name

na

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

na

Physical City

na

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

na

Physical Zip Code

23,456

Are you currently accepting new MaineCare members?

No

Are you able to accommodate children with special needs?

No

Are you able to serve children with mobility issues such as wheelchair ramps and wider doorways?

 

Are you able to provide services to children with complex health needs such as sedation?

 

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

 

Dental License Number

 
Created at 9/20/2021 3:37 AM by ***
Last modified at 9/20/2021 3:37 AM by ***