DENTIST AGREEMENTDentist Agreement • February 11th, 2009
Contract Type FiledFebruary 11th, 2009THIS 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”).
DENTIST AGREEMENTDentist Agreement • October 10th, 2008
Contract Type FiledOctober 10th, 2008THIS 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”).