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Park Avenue Oral & Facial Surgery, P.C. New York Oral & Facial Surgery, L.L.C.! Patients Name: ! ! ! ! ! !! ! ! !! ! ! ! ! ! !! ! ! ! !! ! Date of Birth: / / Male Female SSN # Single Married Widowed
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Park Avenue Oral Amp is a form used for reporting oral health statistics.
Dentists and oral health care providers are required to file Park Avenue Oral Amp.
Park Avenue Oral Amp can be filled out online or submitted through the designated reporting portal.
The purpose of Park Avenue Oral Amp is to collect data on oral health services provided.
Information such as number of patients treated, types of services provided, and demographic data must be reported on Park Avenue Oral Amp.
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