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€¦ · I authorize and request my insurance company to pay directly to the dentist Or dental group insurance benefits otherwise payable to me. I understand that the patient portion

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Page 1: €¦ · I authorize and request my insurance company to pay directly to the dentist Or dental group insurance benefits otherwise payable to me. I understand that the patient portion

Dentist NYC || Best NYC Dentist || Dentist

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Bajaj Allianz General Insurance Company Limited. … shall be forfeited. I also consent & authorize Bajaj Allianz General Insurance Company Limited, to seek necessary medical information

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