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The insurance companies that Marc P Gimbel D. M. D. LLC participates with are listed on the other side ofthis form. We are not a party to this contract in most cases. There are no exceptions as this is a state law and dictated by the State Board ofDentistry. ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES You May Refuse to Sign This Acknowledgement I have read a copy ofthis office s Notice ofPrivacy Practices. 5 per month with a minimum fmance charge of. 50 per month. Balances older...
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