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Luis Garabis DDS 1499 Windhorst Way Suite 100 Greenwood IN 46143 Phone 1. 855. 49SMILE Fax 888. 781. 855. 49SMILE or please feel free to visit our website at www. schoolsmiles. com for further information and frequently asked questions. 855. 49SMILE Front and back of form must be signed. www. schoolsmiles. com PLEASE COMPLETE ENTIRE FORM FRONT AND BACK On-site Dental Care Payment Information Must be filled out for child to be seen Medicaid Managed Care Plan Private Insurance Caresource Aetha...
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The purpose of the on-site comprehensive report is to assess the overall effectiveness and quality of our school's programs and services.
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