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WELCOME Date: ___ Birth date: ___Age: ___Height___ Name: ___(Single LASTFIRSTMIMarried Divorced Other) Please circle oneStreet Address: ___ City: ___State:___ Zip:___ Phone: (Home) (___) ______ /
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Medical Dental Center LLC is a legal business structure for organizations providing dental and medical services, combining medical and dental practices under one limited liability company.
Any entity or individual operating a Medical Dental Center LLC must file, including healthcare professionals who run a combined practice.
To fill out the Medical Dental Center LLC form, the applicant must provide business name, address, ownership details, and comply with state-specific filing requirements.
The purpose of Medical Dental Center LLC is to legally structure a practice providing both dental and medical services that protects owners from personal liability.
Information that must be reported includes business name, principal address, member information, and compliance with health regulations.
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