Common Contracts

2 similar Dentist Agreement contracts

DENTIST AGREEMENT
Dentist Agreement • February 11th, 2009

THIS AGREEMENT is made and entered into by and between PREMIER ACCESS INSURANCE COMPANY, a California Corporation (“PREMIER”) and the undersigned Dentist, licensed to practice dentistry in the state noted on the signature page (“DENTIST”).

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DENTIST AGREEMENT
Dentist Agreement • October 10th, 2008

THIS AGREEMENT is made and entered into by and between PREMIER ACCESS INSURANCE COMPANY, a California Corporation (“PREMIER”) and the undersigned Dentist, licensed to practice dentistry in the state noted on the signature page (“DENTIST”).

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