Participating Dentist Agreement with United Concordia Companies, Inc.Participating Dentist Agreement • November 20th, 2006
Contract Type FiledNovember 20th, 2006Under the applicable laws of the State of Virginia, I am duly authorized to engage in the practice of dentistry. In consideration for being registered as a participating dentist in the Fee for Service Dental Network (the “Network”) of United Concordia Companies, Inc. and its affiliates (collectively, “United Concordia), I (“Dentist”) do hereby agree as follows: