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Dr. Ellen R. Release 1415 Kennedy Rd. Unit 20, Scarborough, Ontario M1P 2L6 Tel (416) 2928767 Fax (416) 2924072 info@mydentalplace.ca www.mydentalplace.caDate: ___ To: Dr. ___Phone: ___ Fax: ___RE:
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My dental placedentistry relates to dental health services and treatments.
Dental practitioners and clinics providing dental services are required to file.
You need to provide details about services rendered, patient information, and billing on the specified forms.
The purpose is to document dental procedures for billing and insurance claims.
You must report patient demographics, treatment details, costs, and any relevant insurance information.
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