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Paul I. Rubin D.D.S., P.A. Frisco Kids Dentistry 6801 Warren Parkway, Suite 115 Frisco, Texas 75034Insurance and Responsible Party Information Responsible Party Information Date: Patient (s) name:
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Rubin d is a financial disclosure form that certain individuals are required to file.
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Rubin d can be filled out online or on paper, and requires the reporting of specific financial information.
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