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CERTIFICATED

DELTA DENTAL PPO

DELTA DENTAL HMO

Delta Dental - ENROLLMENT FORM

Please visit the Delta Dental website for provider directory, benefits, and claim forms:

deltadentalins.com

tooth

Delta Dental's Customer Service Department

Call toll-free:

800-765-6003 (TTY/TDD 711)

Monday through Friday between 5:00 a.m. and 5:00 p.m., Pacific time.

DeltaCare USA Customer Service

Call toll-free:

800-422-4234 (TTY/TDD 711)

Monday through Friday between 5:00 a.m. and 6:00 p.m., Pacific time.

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