Participating Dentist Agreement with United Concordia Companies, Inc. for the Department of Defense (DoD) ProgramsParticipating Dentist Agreement • December 14th, 2022
Contract Type FiledDecember 14th, 2022Under 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 Department of Defense (DoD) Networks (i.e. Active Duty Dental Program (ADDP) Network and/or TRICARE Dental Program (TDP) Network) of United Concordia Companies, Inc. and its affiliates (collectively, “United Concordia”), I (“Dentist”) do hereby agree as follows:
Participating Dentist Agreement with United Concordia Companies, Inc. for the Department of Defense (DoD) ProgramsParticipating Dentist Agreement • January 25th, 2008
Contract Type FiledJanuary 25th, 2008Under 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 Department of Defense (DoD) Networks (i.e. Active Duty Dental Program (ADDP) Network and/or TRICARE Dental Program (TDP) Network) of United Concordia Companies, Inc. and its affiliates (collectively, “United Concordia”), I (“Dentist”) do hereby agree as follows: