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2012 INDEPENDENT FEES (ASHFORD DENTAL CARE) PATIENTS FULL NAME: DISCUSSION OF TREATMENT PLAN OPTIONS & ESTIMATES DENTIST IS INITIALS: REFERENCE NO: DATE OF ESTIMATE: DIAGNOSIS INSURANCE MEMBERS INDEPENDENT
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ashford fees3ai - ashforddental is a form used to report dental fees charged by Ashford Dental.
Dentists or dental offices that are affiliated with Ashford Dental are required to file ashford fees3ai - ashforddental.
To fill out ashford fees3ai - ashforddental, one must include detailed information about the dental fees charged by Ashford Dental for services provided.
The purpose of ashford fees3ai - ashforddental is to track and report the fees charged by Ashford Dental for dental services.
On ashford fees3ai - ashforddental, one must report the specific dental services provided and the corresponding fees charged by Ashford Dental.
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