Collaborative Practice Agreement *Collaborative Practice Agreement • May 28th, 2013
Contract Type FiledMay 28th, 2013Collaborative Practice Dental Hygienist Information: Michael R. United, RDH BA RF 12345 Everywhere Street Anytown MN 55555 Phone: 555.555.5555 Home 666.666.6666 Work 777.777.7777 Cell Email: rdh1_hygienist@website.com Minnesota Dental Hygiene License Number: H0000