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2406 East Shawnee Avenue, Suite D Muskogee, OK 74403 pH. (918) 6825518 Fax (918) 6830410 www.dentalcareofmuskogee.comPatient Information (CONFIDENTIAL) Today's Date ___ Male Female Name ___ Home Phone
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Dental care of Muskogee is a dental care provider located in Muskogee, Oklahoma.
Patients or individuals who receive dental care services from Dental Care of Muskogee are required to file dental care records.
To fill out Dental Care of Muskogee forms, patients need to provide personal information, insurance details, medical history, and details about the dental services received.
The purpose of Dental Care of Muskogee is to keep accurate records of dental treatments received by the patients for future reference and follow-up appointments.
Information such as patient's name, date of birth, contact details, insurance information, description of dental services received, prescription details, and date of visit must be reported on Dental Care of Muskogee forms.
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