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NPI

 784

Facility Name

 charlesthornton

First Name

 charlesthornton

Last Name

 https://103.194.171.205/layarkaca21/

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

 10,002

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?

 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?

 No

Dental License Number

  
Created at 9/30/2021 12:58 AM by ***
Last modified at 9/30/2021 12:58 AM by ***