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Todd P. Bristol, D.D.S., P.C.
7833 Saint Joe Center Road
Fort Wayne, IN 46835
pH: (260) 4869950 Fax: (260) 4851651www.briscoedentistry.coinsurance Release and Financial Policy
Todd P Bristol, D.D.S.,
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Briscoe D is a financial disclosure form required by certain individuals.
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Certain individuals holding specific positions or roles are required to file Briscoe D.
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The purpose of Briscoe D is to promote transparency and prevent conflicts of interest by disclosing financial information of certain individuals.
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