DeCare Dental EncompassSM PARTICIPATING DENTIST AGREEMENTParticipating Dentist Agreement • December 11th, 2006 • Maine
Contract Type FiledDecember 11th, 2006 JurisdictionThis AGREEMENT is made this day of , by and between DeCare Dental Encompass sponsored by DeCare Dental Networks, LLC, (hereinafter DDN) a Minnesota limited liability company having its principle place of business at 3560 Delta Dental Drive, Eagan, Minnesota, 55122, and the undersigned dentist (hereinafter Dentist).