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JEFFREY GANELES, D.M.D. FREDERIC J. NORKIN, D.M.D. LILIANA ARANGUREN, D.D.S. SAMUEL ZFAZ, D.D.S.ACKNOWLEDGEMENT AND AUTHORIZATION REGARDING PRIVACY PRACTICES ___ I, ___, have received a copy of this
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Florida Institute for Periodontics is a specialized dental practice focused on the diagnosis and treatment of periodontal (gum) diseases.
Typically, dentists, dental hygienists, and healthcare professionals affiliated with the practice or related organizations may be required to file certain documents or forms related to their services.
To fill out forms related to the Florida Institute for Periodontics, follow the specific instructions outlined on the forms, ensuring all required information is accurate and complete.
The purpose of the Florida Institute for Periodontics is to provide specialized care for patients suffering from periodontal diseases and to advance the field of periodontics through education and research.
Patients' medical history, diagnosis, treatment plans, and outcomes must be reported, along with any relevant billing information and documentation of services rendered.
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