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NPI

 55,464,654

Facility Name

 ikecordero

First Name

 Ike

Last Name

 https://wikiace.com

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

 787,565

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 11/27/2021 2:15 AM by ***
Last modified at 11/27/2021 2:15 AM by ***