Registration- Dentist Verify

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Confirm Dentist

Please validate the address information for your practice (below). If this information is correct, select "Register". If not, please contact Customer Service at 800 445-9090.

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{{item.providerAddress.city}} {{item.providerAddress.state}} {{item.providerAddress.zip5}}
Practitioner ID: {{item.providerIdentifiers.providerId}}