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NPI

23,456,789

Facility Name

bryanwef35

First Name

Bryan

Last Name

Taylor

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

Kristen Smith

Physical City

usa

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

WI

Physical Zip Code

53,188

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://spires.co/online-history-of-art-tutors/postgraduate
Created at 5/28/2024 10:34 AM by ***
Last modified at 5/28/2024 10:34 AM by ***