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NPI

 22

Facility Name

 https://www.llskin.jp/

First Name

 Massager

Last Name

 Lift

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

 https://www.llskin.jp/products/mio2/

Physical City

 Vernon

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

 New York

Physical Zip Code

 13,476

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

 https://www.llskin.jp/products/mami/
Created at 12/16/2021 11:07 AM by ***
Last modified at 12/16/2021 11:07 AM by ***