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NPI

 123

Facility Name

 https://kimcuongdaquy.info/kien-thuc/da-ruby-da-quy-duoc-ua-chuong-nhat/

First Name

 https://kimcuongdaquy.info/kien-thuc/da-sapphire-la-gi/#Da_sapphire_co_y_nghia_gi

Last Name

 https://kimcuongdaquy.info/kien-thuc/da-emerald-la-gi/

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

 1 Queens Gate

Physical City

 https://kimcuongdaquy.info/kien-thuc/da-spinel-loai-da-quy-trong-trang-suc/

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

 ME MAINE

Physical Zip Code

 2,021

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

  
Created at 10/5/2021 11:42 PM by ***
Last modified at 10/5/2021 11:42 PM by ***