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NPI

10,001

Facility Name

Hubert

First Name

Montano

Last Name

http://www.poker88.party

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

na

Physical City

califonia

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

califonia

Physical Zip Code

10,001

Are you currently accepting new MaineCare members?

No

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?

No

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

No

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

Yes

Dental License Number

10001
Created at 9/21/2021 2:46 AM by ***
Last modified at 9/21/2021 2:46 AM by ***