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NPI

748,556

Facility Name

India

First Name

74859indiaalbertASDFG

Last Name

https://143.198.194.222/

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

ASD

Physical City

ASDFG

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

SDFGHM

Physical Zip Code

10,001

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 12/28/2021 3:04 AM by ***
Last modified at 12/28/2021 3:04 AM by ***