Authorization For Use Or Disclosure Of Health Information Page 2

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Delta Dental of California and its Affiliates
• Delta Dental of California
• Delta Dental Insurance Company
• Delta Dental of Delaware
• Delta Dental of New York
• Delta Dental of Pennsylvania
• Delta Dental of the District of Columbia
• Delta Dental of Puerto Rico
• Delta Dental of West Virginia
• Alpha Dental of Alabama, Inc.
• Alpha Dental of Arizona, Inc.
• Alpha Dental of Nevada, Inc.
• Alpha Dental of New Mexico, Inc.
• Alpha Dental of Utah, Inc.
• Alpha Dental Programs, Inc. (TX)
• Dentegra Insurance Company
• Dentegra Insurance Company of New England
• Delta Reinsurance Corporation

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