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Dr. Harry S Tab DDS And Associates, PC
201 Old York Road
Suite 200
Jenkintown, PA 19046
pH # : 2155760421
Fax # : 2155760816
Patient Personal Information
NicknameBirth DateAgeLast, FirstMarital StatusSexAddressHome
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How to fill out harry s taub dds
01
Gather all necessary personal information, such as full name, date of birth, and contact details.
02
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03
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04
Complete the insurance information, if applicable, including policy number and provider details.
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Sign and date the consent forms, acknowledging understanding of the provided information.
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What is harry s taub dds?
Harry S. Taub DDS is a dental practice owned by Dr. Harry Taub.
Who is required to file harry s taub dds?
Patients who receive dental services from Harry S. Taub DDS may be required to provide their information for filing purposes.
How to fill out harry s taub dds?
To fill out harry s taub dds, patients may need to provide their personal information, insurance details, and details of the dental services received.
What is the purpose of harry s taub dds?
The purpose of harry s taub dds is to report the dental services provided by Harry S. Taub DDS and to facilitate billing and insurance claims.
What information must be reported on harry s taub dds?
Information that may need to be reported on harry s taub dds includes patient demographics, insurance information, details of services provided, and billing details.
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