Clinic's details
Clinic is part of a Dental Service Organization (DSO)?
Clinic uses an intraoral scanner?
Doctor's details
[{"Disabled":false,"Group":null,"Selected":false,"Text":"NPI","Value":"10"},{"Disabled":false,"Group":null,"Selected":false,"Text":"Unique ID License","Value":"20"},{"Disabled":false,"Group":null,"Selected":false,"Text":"AHPRA","Value":"30"},{"Disabled":false,"Group":null,"Selected":false,"Text":"Health Provider Index","Value":"40"}]
Identifier type
Provider identifier(s)
Identifier type Identifier #  
Doctor is an orthodontist?
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