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Dent care Delivery Systems, Inc. 333 Earle Covington Blvd., Suite 300 Uniondale, NY 11553-3608 P 800-468-0466 F 516-745-0079 DELIVERY SYSTEMS, INC. New York Select Individual Dental Plan Enrollment
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F-2438 11-24-14 jc is a form used for reporting certain financial information.
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The purpose of the form is to gather financial information for regulatory or taxation purposes.
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Details about income, expenses, assets, and liabilities as specified by the governing authority.
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