Common Contracts

1 similar Delta Dental Ppo contracts

PARTICIPATING DENTIST AGREEMENT
Delta Dental Ppo • August 25th, 2008

THIS AGREEMENT, made and entered into this day of , 20 by and between Colorado Dental Service, Inc. d/b/a Delta Dental of Colorado, as first party, hereinafter referred to as the “Corporation” and , a dentist duly and regularly licensed to practice his/her profession in the State of Colorado, as second party, hereinafter referred to as “Dentist”, states the terms and conditions of Dentist’s participation in the Delta Dental PPO program.

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