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Dental Smiles (ID-03)

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

Waiver Dates

Approval: 12/29/2014
Effective: 01/01/2023
Expiration: 12/31/2027

Supporting Documents

Approved Application(s) and Related Documents

Date Title
09/15/2020 Approved Application (PDF, 4.11 MB)
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