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Dental Smiles (ID-03)

State: Idaho
Waiver Authority:
1915 (b4)
Status: Approved

Waiver Dates

Approval: 12/29/2014
Effective: 07/01/2017
Expiration: 06/30/2022

Supporting Documents

Approved Application(s) and Related Documents

Date Title
Date 09/15/2020 Title Approved Application (PDF, 4.09 MB)
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