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CAROL SHAFFER, D.M.D. LINVILLE, NC 28646 (828) 7377722 Patient Medical History Questionnaire Name: Last First MI Preferred Sex: M / Marital Status: Married Single Child Operate of Birth: / / Social
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Anyone who requires dental services and intends to visit Carol Schaffer DMD Linville may need to fill out the form. This includes both new and existing patients who want to update their information or provide additional details related to their dental health. The form ensures that the dental office has all the necessary information to provide appropriate treatment and maintain accurate records.
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Carol Schaffer DMD Linville is a dental practice located in Linville.
The dental practice of Carol Schaffer DMD Linville is required to file their practice information.
To fill out the information for Carol Schaffer DMD Linville, the practice must provide details about their services, staff, and contact information.
The purpose of Carol Schaffer DMD Linville is to provide dental services to patients in the Linville area.
The information required to be reported on Carol Schaffer DMD Linville includes services offered, staff members, location, and contact details.
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