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Chapel Hill Periodontics & Implants Timothy W. Gods, D.D.S., M.S., P.A. Practice Limited to Periodontics150 Providence Road, Suite 200 Chapel Hill, NC 27514 PATIENT INFORMATION Patient Name: Date:

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Chapel Hill Periodontics is a dental practice specializing in the treatment of periodontal diseases.

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Chapel Hill Periodontics may be required to be filed by the dental practice owners or administrators.

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To fill out Chapel Hill Periodontics, one must provide detailed information about the practice's financial status, patient demographics, and treatment plans.

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The purpose of Chapel Hill Periodontics is to accurately report the financial and operational status of the dental practice.

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Information such as revenue, expenses, patient visits, and treatment outcomes must be reported on Chapel Hill Periodontics.

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