Common Contracts

1 similar Participating Dentist Agreement contracts

Participating Dentist Agreement with United Concordia Companies, Inc.
Participating Dentist Agreement • January 12th, 2012

Under the applicable laws of the State of , I am duly authorized to engage in the practice of dentistry. In consideration for being registered as a participating dentist in the Fee for Service Dental Network (the “Network”) of United Concordia Companies, Inc. and its affiliates (collectively, “United Concordia”), I (“Dentist”) do hereby agree as follows:

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