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Employer Name Group/Division # Dental/Division # Life/Division # (Mandatory)Group PPO Enrollment Application & Change Form SECTION 1: REQUESTED ACTION Please check all that apply Complete section

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What is dentaldivision?

Dentaldivision is a form used to report detailed financial information related to dental practices.

Who is required to file dentaldivision?

Dental professionals, including dentists and dental hygienists, are required to file dentaldivision.

How to fill out dentaldivision?

Dentaldivision can be filled out online or by submitting a paper form with detailed financial information.

What is the purpose of dentaldivision?

The purpose of dentaldivision is to provide transparency and accountability in dental practices by reporting financial information.

What information must be reported on dentaldivision?

Financial information such as income, expenses, and assets must be reported on dentaldivision.

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