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JACK HEMELSTRAND, DMD, Patel: 5036653116 60 NW 2ND STREET GRESHAM, OR 97030PATIENT INFORMATION UPDATED FORM Date: UPDATEPatient: NASTIEST MALE FEMALE MI CHILD* STUDENT**PREFERREDTITLE SINGLE MARRIED

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What is jack hemelstrand dmd pc?

Jack Hemelstrand DMD PC is a dental practice owned by Jack Hemelstrand, who is a licensed dentist.

Who is required to file jack hemelstrand dmd pc?

The owner of Jack Hemelstrand DMD PC is required to file the necessary documents for the dental practice.

How to fill out jack hemelstrand dmd pc?

To fill out Jack Hemelstrand DMD PC, the owner needs to provide information about the dental services offered, financial reports, and any other required documentation.

What is the purpose of jack hemelstrand dmd pc?

The purpose of Jack Hemelstrand DMD PC is to provide dental services to patients and to operate as a business in the dental industry.

What information must be reported on jack hemelstrand dmd pc?

Information such as financial statements, patient records, employee information, and any other relevant data must be reported on Jack Hemelstrand DMD PC.

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