New Patient Forms

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New Patient forms.
Patientforms

The patient and any other person responsible for payment have the right to refuse to pay, cancel a payment, or to be reimbursed for any other service, examination, or treatment which is performed as a result of and within 72 hours of responding to the advertisement for the free, discounted fee service, examination or treatment. Fees quoted are minimum fees only.

License # DN15610. Dental Codes for patient specials: D0150 and D0210.


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