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NAVAL CC ORDER FORM SEND COMPLETED FORM TO DENTAL LAB (SEE REVERSE) Order Info Clinician nameOffice phonePractice name (if different)Contact for case questionsAddressContact email Can email be used
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How to fill out practice name if different
How to fill out practice name if different
01
Start by entering the name of the practice.
02
If the practice name is different from your own name, indicate this by selecting the checkbox or option that says 'Practice Name if Different'
03
Once selected, a new field will appear where you can enter the actual practice name.
04
Fill in the practice name accurately and double-check for any typos or mistakes.
05
Finally, review all the information provided before submitting the form.
Who needs practice name if different?
01
Any individual or organization who operates a practice that has a separate name from their own should provide the practice name if different.
02
This is particularly important for professionals in the healthcare, legal, or service industries where their practice might have a distinct identity apart from their personal name.
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What is practice name if different?
If the practice name is different from the legal entity name, it should be reported.
Who is required to file practice name if different?
The individual or entity using a different practice name must file it.
How to fill out practice name if different?
The practice name should be clearly indicated on the appropriate forms or filings.
What is the purpose of practice name if different?
The purpose is to identify the specific name under which the practice operates.
What information must be reported on practice name if different?
The full practice name that is different from the legal entity name must be reported.
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