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Step
1: Select which type of dental coverage you would like to receive.
Click below to view plan information:
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Full
Dental Coverage
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Click
Logo to View Plan
and Print Application
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Co-Pay
Dental Plan
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Click
Logo to View Plan and Providers & Print
Application
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Discount
Dental Plan
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Click
Logo to Apply Online
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Dental
Plan
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Click
Logo for Information
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Step
2:
Mail the completed application for Competitor Smile or EDS to
HealthSource One
575 W. Chandler Blvd., Suite 120
Chandler, Arizona 85225
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will allow us to |
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review accuracy of the application |
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verify confirmed coverage with the carrier |
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service your account |
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