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NPI

64

Facility Name

situsonline

First Name

terper

Last Name

caya

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

https://www.radiointel.com

Physical City

losangles

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?

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?

No

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

Yes

Dental License Number

 
Created at 12/29/2021 12:51 AM by ***
Last modified at 12/29/2021 12:51 AM by ***