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1. 2. 3. 4.PLEASE TYPE OR PRINT DO NOT USE A HIGHLIGHTER STAPLE RAYS TO TOP RIGHT CORNER SEND PAGE 1 TO DELTADELTA DENTAL PLAN OF CALIFORNIA ENCOURAGES DENTAL OFFICES TO SUBMIT CLAIMS ELECTRONICALLY. M109691
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Send page 1 to is a document that needs to be submitted to the tax authorities.
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The purpose of send page 1 to is to report taxable income and calculate the amount of tax owed.
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