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Stillaguamish Family Dentistry
4126 172nd St Ne
Arlington, Wei 98223
360.657.3687 Fax 360.657.3795PRIVACY NOTICE SUMMARY
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE
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What is stillaguamish family dentistry 4126?
Stillaguamish family dentistry 4126 is a form used for reporting dental services provided by Stillaguamish Family Dentistry.
Who is required to file stillaguamish family dentistry 4126?
All dental providers who work at Stillaguamish Family Dentistry are required to file the 4126 form.
How to fill out stillaguamish family dentistry 4126?
To fill out the 4126 form, dental providers need to include detailed information about the services provided, the patient's information, and the billing details.
What is the purpose of stillaguamish family dentistry 4126?
The purpose of the 4126 form is to accurately report the dental services provided by Stillaguamish Family Dentistry for billing and record-keeping purposes.
What information must be reported on stillaguamish family dentistry 4126?
The 4126 form requires information such as patient demographics, services provided, billing codes, and insurance information.
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