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HIPAA FORMS

Notice of Privacy Practices (HIPAA) 2 of 2

HIPAA Signature Sheet

Notice of Privacy Practices (HIPAA) 1 of 2 

OFFICE LOCATION

Andrew C. Korinis, D.D.S.

Bergen Smile Confidence, P.A.

541 Cedar Hill Ave,Wyckoff, NJ 07481

Phone: (201) 444-2383

Dental Emergency: 201-602-6727

Email: office@bergensmileconfidence.com