Teeth can be lost for a variety of reasons. Anything from disease, injury, birth defect, to decay can result in teeth being lost or removed. However, many dental and health problems can result from tooth loss or removal.
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I understand the information disclosed in this form may be subject to re-disclosure and may no longer be protected by HIPAA privacy regulations and the HITECH Act.
Blue Ridge, GA Office
980 East Main Street, Suite 100
Blue Ridge, GA 30513
Phone: (706) 480-8396
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