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At Drs. Delgado Kuzmik P. C. we strive to deliver the finest surgical care as well as reasonable costs to our patients. DRS. DELGADO KUZMIK P. C. Our Financial Policy Thank you for choosing us as your dental specialist. I understand that I have read the information contained and agree to be financially responsible for all charges incurred during my treatment at Drs. Delgado Kuzmik P. C. Print Name name of Guardian if patient is a minor Signature Date PATIENT RECORD OF DISCLOSURES I WISH TO BE...
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