UNIVERSITY HEALTH CARE, INC. dba PASSPORT HEALTH PLAN DENTAL PROVIDER AGREEMENTDental Provider Agreement • March 20th, 2014 • Kentucky
Contract Type FiledMarch 20th, 2014 JurisdictionThis Dental Provider Agreement (the "Agreement"), by and between University Health Care, Inc., d/b/a Passport Health Plan ("HMO"), and , (Provider).