Dentek Onboarding Document
Office Name:
*
Office Number:
*
Please enter a valid phone number.
Office Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Doctor
*
First Name
Last Name
Manager/Point of Contact
*
First Name
Last Name
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Dentek Onboarding Document Cont'd
Internet Service Provider
*
Phone Provider/System
Any Password Credentials
*
Number of Workstations
*
Number of Phones
*
Number of Laptops/Tablets
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Dentek Onboarding Document Cont'd
List of Printers
*
List of Scanners
*
Fax: eFax or Analog?
*
Please Select
eFax
Analog
Do you receive fax via email or fax machine?
PMS Software
*
Imaging Software
*
Dental Equipment - Make/Model
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