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2023-018-E-Health-Monica Kim, DDS-Dental Services
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2023-018-E-Health-Monica Kim, DDS-Dental Services
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Entry Properties
Last modified
1/17/2023 11:43:31 AM
Creation date
1/17/2023 11:43:18 AM
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Template:
Contract
Date
1/12/2023
Contract Starting Date
1/12/2023
Contract Ending Date
1/17/2023
Contract Document Type
Contract
Amount
$8,000.00
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EASTERN DENTISTS INSURANCE COMPANY <br /> (A Risk Retention Group) <br />PROFESSIONAL LIABILITY <br />DECLARATIONS PAGE <br />Page 2 <br />Policy Number: <br />Named Insured: <br />SCHEDULE OF ENDORSEMENTS <br />Acct. Mgr.: <br />NCO2202652-2652 <br />Monica Kim, DDS <br />1 .Coverage for Teledentistry <br />2 .Coverage for COVID-19 Testing <br />3 .Coverage for COVID-19 Vaccine Administration <br />4 .Professional Liability Moonlighting Endorsement <br />Neil 2022-08-11 18:37:41B <br />DocuSign Envelope ID: DA4EEB72-3DF6-46DC-B719-740612113ADD
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