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NPI

10,001

Facility Name

doviehale

First Name

doviehale

Last Name

https://bestsolarlights.guide

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

SDFGHJ

Physical City

zXSCFVBNM

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

asdfghjk

Physical Zip Code

10,011

Are you currently accepting new MaineCare members?

Yes

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?

Yes

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

aqswderfghjkl
Created at 10/2/2021 3:44 AM by ***
Last modified at 10/2/2021 3:44 AM by ***