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Neal H. Smith, DMD Amy B. Smith, DMD(509) 2482973 Yakima(509) 9332973 Ellensburg.cwpediatricdentistry.com ABOUT YOUR CHILD's Name___Nickname___ Male/ Female Birthdate___/___/___ Special interest,
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Gather all necessary information such as personal details, insurance information, and medical history.
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Provide all the necessary information to the receptionist or dental assistant.
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