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Tel (203) 6350770 fax (203) 6350771 www.moderndermct.comREQUEST TO REVIEW/COPY PROTECTED HEALTH INFORMATION1. I am submitting this form to request access to, or obtain a copy of, my or my minor children
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The Washington dentist dentist in refers to a specific reporting form or requirement that dentists in Washington state must comply with, usually related to license renewal, compliance, or taxation.
Dentists practicing in Washington state are required to file the Washington dentist dentist in, particularly for licensing and compliance purposes.
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The information that must be reported includes the dentist's name, license number, practice address, continuing education credits, and any disciplinary actions or changes in practice status.
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