select
Online Help Help

Manage PermissionsManage Permissions

NPI

5

Facility Name

af

First Name

asff

Last Name

afaf

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

https://www.actconsortium.org

Physical City

california

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

ca

Physical Zip Code

90,011

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

4565464
Created at 11/23/2021 4:35 AM by ***
Last modified at 11/23/2021 4:35 AM by ***