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New Patient Form Tammy I. Artist DDS, PA 706 Summit Ave., Greensboro, NC 27405 336.378.1150 Fax 336.273.7110First Name:Last Name:Middle Initial:Patient is:DDS, Pam policyholder Responsible PartyPreferred

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Tammy I is a specific form or document used for reporting information related to certain financial or tax obligations.

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