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NPI

5,454,545

Facility Name

lennymcmillan

First Name

Lenny

Last Name

https://freebet.icu/

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

new yark

Physical City

new yark

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

new yark

Physical Zip Code

464,577

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?

Yes

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

No

Dental License Number

 
Created at 10/13/2021 2:54 AM by ***
Last modified at 10/13/2021 2:54 AM by ***