Two Great Dental Programs

A REGISTERED MARK OF DELTA DENTAL PLANS ASSOCIATION Two Great Dental Programs For 2014 Kaiser Permanente Federal Members You must be enrolled in one ...
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A REGISTERED MARK OF DELTA DENTAL PLANS ASSOCIATION

Two Great Dental Programs For 2014 Kaiser Permanente Federal Members You must be enrolled in one of Kaiser Permanente’s medical plans to elect fee-for-service or DHMO dental coverage

Kaiser Permanente is pleased to offer Federal employees and eligible Federal retirees and dependents who are currently enrolled or planning to enroll in one of Kaiser Permanente’s medical plans a choice of the dental plans described below. Option 1 is underwritten by Kaiser Permanente Insurance Company (KPIC), a subsidiary of Kaiser Foundation Health Plan, Inc., and is administered by Delta Dental of California (Delta Dental). Option 2 is a DeltaCare® USA dental HMO program provided by Delta Dental of California and administered by Delta Dental Insurance Company. (These companies are financially responsible for their own products.) These benefits are neither offered nor guaranteed under a contract with the Federal Employees Health Benefit (FEHB) Program, but are made available to all enrollees and family members who become members of Kaiser Permanente. During the annual open season period, you have the opportunity to enroll in one of the two plans. If you are already enrolled, you may change plans during this period. Your coverage under the enrolled plan will become effective on January 1, 2014 and will extend through December 31, 2014, subject to your continued premium payments and enrollment in Kaiser Permanente’s traditional HMO Plan. If you are already enrolled under one of the two dental plans and are not planning on changing your coverage, you do not need to complete the enrollment form. If you are changing plans, you must provide 30-days advance written notice of termination. If you are covered under Option 1, the notice must be sent to Delta Dental (see page 7 for address). If you are covered under Option 2, the notice must be sent to DeltaCare USA (see page 18 for address).

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You have two dental plans to choose from:

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KPIC’s Group Dental Insurance Plan allows you the freedom to see any licensed dentist of your choice. It uses a Table of Allowances that lists the dollar amount KPIC will pay for each covered dental service. A copy of the Table of Allowances is included in this brochure. You must be enrolled in Kaiser Permanente’s traditional HMO medical plan to elect this dental coverage.

DeltaCare USA is a dental HMO program. With DeltaCare USA, you select a conveniently located network dentist to provide dental care for you and your family. A list of participating network dentists is enclosed for your review. Depending on the service you receive, you pay either a small copayment or no copayment at all. With the DeltaCare USA program, there are no deductibles and no claim forms. You must be enrolled in Kaiser Permanente’s traditional HMO medical plan to elect this dental coverage.

With KPIC's Group Dental Insurance Plan . . .

With DeltaCare USA . . .

• You have the freedom to choose any licensed dentist. • Each family member may visit a different dentist. • Table of Allowances lists the specific dollar amount payable for each covered dental service. • Your out-of-pocket costs will usually be lowest if you visit a Delta Dental PPOSM dentist. If you can’t find a PPO dentist, a Delta Dental Premier® dentist is your next best option. PPO and Premier dentists will not bill you above their Delta Dental contracted fees for covered services. • You can find Delta Dental dentists at deltadentalins.com/directory. • Orthodontic services (braces) are not covered. • Claims paperwork is handled for you when you see one of Delta Dental’s approximately 30,000 participating dentist locations in California. • You may use your 10-digit Kaiser Permanente Medical Record Number (MRN) or your social security number as your ID number (to use your MRN, include the leading zeros). • There is a deductible of $50 per person ($150 maximum per family); the maximum the program covers annually is $1,000 per person. • There is no deductible for diagnostic and preventive services. • Some procedures are subject to waiting periods See Green Section Beginning on Page 1 Monthly KPIC Premium* Dental Insurance Plan Self Only $30.80 Self & One Party $54.59 Self & Two or More $82.06 *Good through December 31, 2014

• You select one of the more than 6,200 network dentists statewide. • General dental care for the entire family is provided by a network dentist. Specialty care is coordinated by your general dentist. • You pay a set or no copayment for covered services. • Orthodontic services (braces) with a copayment of $1,600 for children under 19 and $1,800 for covered adults and dependent adult children. • There are no claim forms to complete. • There are no deductibles. • There are no annual maximums except for accidental injury.

See Blue Section Beginning on Page 9 DeltaCare USA Monthly* Quarterly* Self Only $ 12.83 $ 38.49 Self & One Party $ 21.48 $ 64.44 Self & Two or More $ 32.56 $ 97.68 *Good through December 31, 2014

Remember that you are enrolling in your selected dental plan for a period of one year. This does not apply if your employment is terminated. Payment for either the KPIC or DeltaCare USA plan may be automatically withdrawn from the checking, savings or credit union account you specify. To review a brochure of the program, visit kp.org/feds. If you are not already enrolled, for questions about KPIC’s Dental Insurance Plan, contact Delta Dental at: 800-933-9312 Your Kaiser Federal group number is #9874 Monday through Friday 8 a.m. — 4 p.m. Pacific time If you are already enrolled in the KPIC Dental Insurance Plan, for more information, please contact Delta Dental at: 800-835-2244 Your Kaiser Federal group number is #9874 Monday through Friday 5 a.m. — 6 p.m. Pacific time For questions about DeltaCare USA, contact Delta Dental at: 800-422-4234 Your Kaiser Federal group number is #1114 Monday through Friday 5 a.m. — 6 p.m. Pacific time

KPIC DENTAL INSURANCE PLAN One of your non-FEHB Dental plan options is a dental insurance plan underwritten by KPIC, and administered by Delta Dental of California. KPIC’s group dental insurance plan uses a Table of Allowances and allows you the freedom to see any licensed dentist of your choice. The Table of Allowances lists the dollar amount KPIC will pay for each covered dental service. A copy of the Table of Allowances is shown on pages 4 and 5 of this brochure. The monthly premiums for 2014 are listed below:

Monthly KPIC Premiums* Dental Insurance Plan Self Only $30.80 Self & One Party $54.59 Self & Two or More $82.06 *Good through December 31, 2014 These benefits are neither offered nor guaranteed under contract with the FEHB Program.

NOTE: This is only a brief description of your coverage. A certificate of insurance and schedule of coverage setting forth the terms and conditions of your coverage will be sent to you after you enroll. The dental coverage described in this section of the brochure is underwritten by Kaiser Permanente Insurance Company, a subsidiary of Kaiser Foundation Health Plan, Inc. (KFHP).

 ABOUT KPIC’S DENTAL INSURANCE PLAN

If you’re concerned about the cost of dental treatment for you and your family, you should know about KPIC’s group dental insurance plan. With a low monthly premium, KPIC’s group dental insurance plan allows you to budget for your annual dental costs. You can do this because KPIC’s dental insurance plan contains a Table of Allowances listing the specific dollar amount KPIC will pay for each covered

dental service. Since you receive in advance the complete Table of Allowances for the plan, you’ll know exactly how much of your treatment will be covered. Because dental fees do vary by dentist, it may be to your advantage to compare your dentist’s fees prior to making an appointment.  WHO CAN JOIN As a Federal employee or a Federal retiree enrolled in one of Kaiser Permanente’s Plans, you and your eligible dependents are eligible for coverage under KPIC’s group dental insurance plan. Your eligible dependents include your lawful spouse and children under 26 years old, including stepchildren and children placed with you for adoption or foster care. A child 26 years of age or older may continue to be eligible as a dependent if incapable of self-support because of physical handicap or mental retardation that commenced prior to age 26, provided that the person is legally residing with and dependent upon the eligible member, and Delta Dental receives notice of the disability.  FREE CHOICE OF DENTISTS Many dental plans restrict your choice of dentists to one from a limited network. But with KPIC’s group dental insurance plan, you may go to any licensed dentist. You and your covered dependents may even choose to go to different dentists. You can find Delta Dental dentists at deltadentalins. com/directory. To use KPIC’s group dental insurance plan, simply make an appointment with the dentist of your choice. Be sure to give the dental office your Kaiser Federal group number and social security number or Medical Record Number (MRN).  SPECIAL ADVANTAGES FROM DELTA DENTAL DENTISTS KPIC’s group dental insurance plan is administered by Delta Dental of California, and you get special advantages when you go to one of the more than 30,000 Delta Dental dentist locations in California. These participating dentists have agreed to handle all your claims paperwork and to charge you no more than their Delta Dental contracted fees. As KPIC’s administrator, Delta Dental reimburses these dentists directly, so you are responsible only for the amount of the charge that exceeds the covered amount shown in the Table of Allowances and any deductible, noncovered services and/or amount over the annual maximum. Your out-of-pocket costs will usually be lowest if you visit a Delta Dental PPOSM dentist. If you can’t find a PPO dentist, a Delta Dental Premier® dentist is your next best option. PPO and Premier dentists will not bill you above their Delta Dental contracted fees for covered services (no “balance billing“). You may use your 10-digit Kaiser

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Permanente Medical Record Number (MRN) or your social security number as your ID number (to use your MRN, include the leading zeros). Find Delta Dental dentists at deltadentalins.com/directory. If you go to a non-participating dentist (a dentist not contracted with Delta Dental), you are responsible for the entire charge and must submit a claim to Delta Dental for reimbursement. Delta Dental will reimburse you directly for the amount shown in the Table of Allowances. Since a majority of California’s dentists are Delta Dental dentists, your current dentist is probably already participating. Ask your dentist if he or she is a Delta Dental dentist.  PREDICTABLE COSTS With KPIC’s group dental insurance plan you know exactly how much KPIC will pay for a covered dental service. Just refer to the Table of Allowances on pages 4 and 5 of this brochure to see how much KPIC will pay for each covered dental service.  NO DEDUCTIBLE ON DIAGNOSTIC AND PREVENTIVE SERVICES Your calendar year deductible is $50 per person, up to a maximum of $150 for the family. There is no deductible on diagnostic and preventive services. Your benefits cover a maximum of $1,000 of dental services for each covered enrollee per calendar year. When you enroll in KPIC’s group dental insurance plan, you are enrolling for a period of one year. This does not apply if your employment is terminated.  WAITING PERIODS Some of the covered dental services listed in the Table of Allowances are subject to a waiting period. This is the period of time that you and your covered dependents are required to have been continuously covered under KPIC’s group dental insurance plan before a specific dental service will be a covered benefit. Consult the Table of Allowances on pages 4 and 5 of this brochure for the specific dental services that are subject to a waiting period. n BENEFITS KPIC’s group dental insurance plan covers the following benefits when they are provided by a licensed dentist and when necessary and customary by the standards of generally accepted dental practice: I. DIAGNOSTIC AND PREVENTIVE BENEFITS Diagnostic: oral examinations x-rays diagnostic casts biopsy/tissue examinations specialist consultations Preventive: prophylaxis treatments (cleanings) fluoride treatments space maintainers

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Limitations on Diagnostic and Preventive Benefits • Benefits for oral examinations are limited to two exams in any calendar year while the patient is covered under any KPIC dental insurance plan.



• Prophylaxis treatments are limited under General Limitations.



• Full mouth x-rays are covered only after five years have elapsed following any prior provision of full mouth x-rays under any KPIC dental insurance plan. Bitewing x-rays are covered on request by the dentist, but not more than twice in a calendar year for children through 18, and once in a calendar year for adults, while the patient is an eligible person under any KPIC dental insurance plan.

II. BASIC BENEFITS Oral surgery: extractions and certain other surgical procedures, including preand post-operative care

Restorative: amalgam, synthetic porcelain and plastic restorations (fillings) for treatment of carious lesions (visible destruction of hard tooth structure resulting from the process of dental decay)



Endodontic: treatment of the tooth pulp (root canal treatment)



Periodontic: treatment of gums and bones supporting the teeth



Sealants: protective coating for posterior molar teeth



Emergency palliative treatment



Limitations on Basic Benefits Periodontal procedures which include prophylaxis are limited under General Limitations.



Sealants are available for first molars for eligible persons through age 8 and for second molars for eligible persons through age 15. The benefit includes the application of sealants only to permanent first and second molars with no caries (decay), with no restorations and with the occlusal surface intact. The sealants benefit does not include the repair or replacement of a sealant on any tooth within two years of its application.

III. CROWNS, INLAYS, ONLAYS AND CAST RESTORATION BENEFITS Crowns, inlays, onlays and cast restorations will be covered when teeth cannot be restored with amalgam, synthetic porcelain or plastic restorations.

Limitations on Crowns, Inlays, Onlays and Cast Restoration Benefits Crowns, inlays, onlays and cast restorations will be replaced only after five years have elapsed following any prior provision under any KPIC dental insurance plan.

IV. PROSTHODONTIC BENEFITS Procedures for construction or repair of fixed bridges, partial or complete dentures.

Limitations on Prosthodontic Benefits Prosthodontic treatment is subject to a six-month waiting period. See Table of Allowances for further reference.







• Prosthodontic appliances that were provided under any KPIC program will be replaced only after five (5) years have passed, except when KPIC determines that there is such extensive loss of remaining teeth or change in supporting tissue that the existing fixed bridge or denture cannot be made satisfactory. Fixed prosthodontic appliances are limited to Enrollees age 16 and older. Replacement of a prosthodontic appliance not provided under a KPIC program will be made if KPIC determines it is unsatisfactory and cannot be made satisfactory. • KPIC group dental insurance plan will pay the listed allowance toward the dentist’s fee for a standard cast chrome or acrylic partial denture or a standard complete denture. (A “standard” complete or partial denture is defined as a removable prosthetic appliance provided to replace missing natural, permanent teeth and which is constructed using accepted and conventional procedures and materials.) • KPIC will not pay for implants (artificial teeth implanted into or on bone or gums), their removal or other associated procedures, but KPIC will credit the cost of a crown, pontic or standard complete or partial denture toward the cost of the implant associated appliance i.e., the implant supported crown or denture. The implant appliance is not covered.

V. GENERAL LIMITATIONS — PROPHYLAXIS TREATMENTS AND OPTIONAL SERVICES



• Benefits under this insurance plan shall include only the first two prophylaxis treatments (cleanings) or single procedures which include prophylaxis, or combination thereof, provided to a patient in any calendar year while he or she is an eligible person under any KPIC dental insurance plan. • If an eligible person selects a more expensive plan of treatment than is customarily provided, or specialized techniques rather than standard procedures, KPIC will pay the listed allowance for the lesser procedure, and the patient is responsible for the remainder of the dentist’s fee (examples: a crown where a silver filling would restore the tooth or a precision denture where a standard denture would suffice).

VI. GENERAL EXCLUSIONS • Treatment of injuries covered by Workers’ Compensation or Employer’s Liability Laws. • Services which are provided to the Covered Person by any Federal or State Governmental Agency or are provided without cost to the Covered Person by any municipality, county or other political subdivision, unless this exclusion is prohibited by law.

• Services for congenital (hereditary) or developmental (following birth) malformations, including but not limited to cleft palate, upper and lower jaw malformations, enamel hypoplasia (lack of development), fluorosis (a type of discoloration of the teeth) and anodontia (congenitally missing teeth), except those services provided to newborn children for medically diagnosed congenital defects or birth abnormalities. • Treatment to stabilize teeth, treatment to restore tooth structure lost from wear (abrasion, erosion), or treatment to rebuild or maintain chewing surfaces due to teeth out of alignment or occlusion. Examples include but are not limited to: equilibration, periodontal splinting, occlusal adjustments or occlusal guards and abfraction. • Any Single Procedure, provided prior to the date the Enrollee became eligible for services under this program. • Prescribed drugs, medication, pain killers, antimicrobial agents, or experimental/ investigational procedures. • Experimental procedures. • Charges by any hospital or other surgical or treatment facility and any additional fees charged by the Provider for treatment in any such facility. • Charges for anesthesia, except for general anesthesia administered by a licensed Provider in connection with covered oral surgery procedures. • Extraoral grafts (grafting of tissues from outside the mouth to oral tissues). • Services for implants (prosthetic appliances placed into or on the bone of the upper or lower jaw to retain or support dental prosthesis) their removal or other associated procedures. • Services for any disturbance of the temporomandibular (jaw) joints or associated Musculature, nerves and other tissues (TMJ). • Replacement of existing restoration for any purpose other than active tooth decay. • Intravenous sedation, occlusal guards and complete occlusal adjustment. • Hypnosis. • Dental practice administrative services including but not limited to, preparation of claims, any non-treatment phase of dentistry such as provision of an antiseptic environment, sterilization of equipment or infection control, or any ancillary materials used during the routine course of providing treatment such as cotton swabs, gauze, bibs, masks or relaxation techniques such as music.

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• Charges for speech therapy.

• Any tax imposed (or incurred) by a government, state or other entity, in connection with any fees charged for Benefits provided under the Contract, will be the responsibility of the Enrollee and not a covered Benefit.

• Charges for lost or stolen appliances. • Services for which no charge is normally made in the absence of insurance. • Charges incurred for oral hygiene instruction, a plaque control program, preventive control programs including home care times, dietary instruction, x-ray duplications, cancer screening, tobacco counseling or broker appointments.

• Deductibles, amounts over plan maximums and/ or any service not covered under the dental plan. • Services covered under the dental plan but exceed Benefit limitations or are not in accordance with processing policies in effect at the time the claim is processed.

• Orthodontic treatment. • Treatment plans that are more expensive than those customarily provided or specialized techniques used instead of standard procedures; for example, a precision denture where a standard denture would suffice. • Maxillofacial prosthetics. • Provisional and/or temporary restorations except an interim removable partial denture is covered only to replace extracted anterior permanent teeth during the healing period. • Cosmetic surgery or procedures for purely cosmetic reasons. • Laboratory processed crowns for Enrollees under age 12. • Fixed bridges and removable partials for Enrollees under age 16. • Interim implants. • Indirectly fabricated resin-based inlays and onlays. • Treatment by someone other than a Provider or a person who by law may work under a Provider’s direct supervision. • Services or supplies covered by any other health plan of the Contractholder. • Procedures having a questionable prognosis based on a dental consultant’s professional review of the submitted documentation.

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• Procedures not shown on the Table of Allowances.

To determine exactly how much your out-of-pocket costs will be and what services will be covered, ask your dentist for a predetermination of benefits.

KPIC Dental Insurance Plan 2014 Table of Allowances The benefits shown below are performed as deemed appropriate by the attending Contract Dentist subject to the limitations and exclusions of the program. Please refer to your Certificate of Insurance for further clarification of benefits. Enrollees should discuss all treatment options with their Contract Dentist prior to services being rendered. Text that appears in italics below is specifically intended to clarify the delivery of benefits under the Delta Dental program and is not to be interpreted as CDT 2014 procedure codes, descriptors or nomenclature that are under copyright by the American Dental Association. The American Dental Association may periodically change CDT codes or definitions. Such updated codes, descriptors and nomenclature may be used to describe these covered procedures in compliance with federal legislation. Code Description Allowance

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Code Description Allowance

D0474 Accession of tissue, gross and microscopic D0100-D0999 DIAGNOSTIC examination, including assessment of Clinical oral evaluations surgical margins for presence of disease, D0120 Periodic oral evaluation — established preparation and transmission of patient . . . . . . . . . . . . . . . . . . . . . . . 18.00 written report . . . . . . . . . . . . . . . . . . . . 59.00 D0140 Limited oral evaluation — problem focused . . . . . . . . . . . . . . . 25.20 D1000-D1999 PREVENTIVE D0145 Oral evaluation for a patient underthree Dental prophylaxis years of age and counseling with primary D1110 Prophylaxis — adult . . . . . . . . . . . . 43.20 caregiver . . . . . . . . . . . . . . . . . . . . . 18.00 D1120 Prophylaxis — child . . . . . . . . . . . . 33.60 D0150 Comprehensive oral evaluation — Topical fluoride treatment (office procedure) new or established patient . . . . . . . 25.20 D1206 Topical application of fluoride varnish 10.80 D0160 Detailed and extensive oral evaluation— D1208 Topical application of fluoride . . . . . 10.80 problem focused, by report . . . . . . . . 21.00 Other preventive services D0170 Re-evaluation — limited, problem D1351 Sealant — per tooth . . . . . . . . . . . . 20.00 focused (established patient; not D1352 Preventive resin restoration in a post-operative visit) . . . . . . . . . . . . . 21.00 moderate to high caries risk patient — D0180 Comprehensive periodontal evaluation permanent tooth . . . . . . . . . . . . . . . 24.00 — new or established patient . . . . 21.00 Space maintenance (passive appliances) Pre-diagnostic services D1510 Space maintainer — fixed — unilateral 115.00 D0190 Screening of a patient . . . . . . . . . . . 12.60 D1515 Space maintainer — fixed — bilateral 191.00 D0191 Assessment of a patient . . . . . . . . . 12.60 D1520 Space maintainer — removable — Diagnostic imaging unilateral . . . . . . . . . . . . . . . . . . . . . 143.00 D0210 Intraoral — complete series D1525 Space maintainer — removable — ofradiographic images . . . . . . . . . . . 54.00 bilateral . . . . . . . . . . . . . . . . . . . . . . 187.000 D0220 Intraoral — periapical first radiographic D1555 Removal of fixed space maintainer . . 23.00 image . . . . . . . . . . . . . . . . . . . . . . . . 12.00 D2000-D2999 RESTORATIVE D0230 Intraoral — periapical each additional Restorative procedures are subject to a 6 month radiographic image . . . . . . . . . . . . . 5.00 waiting period D0240 Intraoral — occlusal radiographic image 12.00 Amalgam restorations (including polishing) D0250 Extraoral — first radiographic image 19.00 D2140 Amalgam — one surface, primary or D0260 Extraoral — each additional radiographic permanent . . . . . . . . . . . . . . . . . . . . 35.00 image . . . . . . . . . . . . . . . . . . . . . . . . 16.00 D2150 Amalgam — two surfaces, primary or D0270 Bitewing — single radiographic image 11.00 permanent . . . . . . . . . . . . . . . . . . . . 43.00 D0272 Bitewings — two radiographic images 17.00 D2160 Amalgam — three surfaces, primary D0273 Bitewings — three radiographic images 20.50 or permanent . . . . . . . . . . . . . . . . . . 52.00 D0274 Bitewings — four radiographic images 24.00 D2161 Amalgam — four or more surfaces, D0277 Vertical bitewings — 7 to 8 radiographic primary or permanent . . . . . . . . . . . 58.00 images . . . . . . . . . . . . . . . . . . . . . . . 45.00 Resin-based composite restorations-direct D0290 Posterior-anterior or lateral skull and D2330 Resin-based composite — one facial bone survey radiographic image 19.00 surface, anterior . . . . . . . . . . . . . . . 46.00 D0330 Panoramic radiographic image . . . . 37.00 D2331 Resin-based composite — Oral pathology laboratory two surfaces, anterior . . . . . . . . . . . 46.00 D0472 Accession of tissue, gross examination, D2332 Resin-based composite — three preparation and transmission of written surfaces, anterior . . . . . . . . . . . . . . 46.00 report . . . . . . . . . . . . . . . . . . . . . . . . 59.00 D2335 Resin-based composite — four or more D0473 Accession of tissue, gross and microscopic surfaces or involving incisal angle examination, preparation and transmission (anterior) . . . . . . . . . . . . . . . . . . . . . 68.00 written report . . . . . . . . . . . . . . . . . . . 59.00 The above CDT 2014 codes and nomenclature are copyright of the American Dental Association. Note: This Appendix represents codes and nomenclature excerpted from the version of Current Dental Terminology (CDT) in effect on the date that this Contract or amendment was issued. CDT coding and nomenclature are the copyright of the American Dental Association, and have been accepted as the standard for data transmission purposes under federal Administrative Simplification regulations. For the purposes of this Appendix, Delta Dental’s administration of Benefits, Limitations and Exclusions under this Contract will at all times be based on the current version of CDT whether or not a revised Appendix B is provided. Notes in italic type have been added by Delta Dental for clarification.

Code Description Allowance

Code Description Allowance

D2390 Resin-based composite crown, anterior 114.00 D2391 Resin-based composite — one surface, posterior . . . . . . . . . . . . . . . . . . . . . 47.00 D2392 Resin-based composite — two surfaces, posterior . . . . . . . . . . . . . . 64.00 D2393 Resin-based composite — three surfaces, posterior . . . . . . . . . . . . . . 80.00 D2394 Resin-based composite — four or more surfaces posterior . . . . . . . . . 80.00 Inlay/onlay restorations D2510 Inlay — metallic — one surface . . 99.00 D2520 Inlay — metallic — two surfaces . 133.00 D2530 Inlay — metallic — three or more surfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150.00 D2542 Onlay — metallic — two surfaces . 191.00 D2543 Onlay — metallic — three surfaces . 191.00 D2544 Onlay — metallic — four or more surfaces . . . . . . . . . . . . . . . . . . . . . . 191.00 D2650 Inlay — resin-based composite — one surface . . . . . . . . . . . . . . . . . . . 34.00 D2651 Inlay — resin-based composite — two surfaces . . . . . . . . . . . . . . . . . . 50.00 D2652 Inlay — resin-based composite — three or more surfaces . . . . . . . . . . 63.00 D2662 Onlay — resin-based composite — two surfaces . . . . . . . . . . . . . . . . . . 50.00 D2663 Onlay — resin-based composite — three surfaces . . . . . . . . . . . . . . . . . 63.00 D2664 Onlay — resin-based composite — four surfaces . . . . . . . . . . . . . . . . . . 63.00 Crowns — single restoration only D2710 Crown — resin-based composite (indirect) 80.00 D2712 Crown — 3/4 resin-based composite (indirect) . . . . . . . . . . . . . . . . . . . . . 80.00 D2720 Crown — resin with high noble metal 182.00 D2721 Crown — resin with predominantly base metal . . . . . . . . . . . . . . . . . . . . 163.00 D2722 Crown — resin with noble metal . . 177.00 D2740 Crown — porcelain/ceramic substrate 192.00 D2750 Crown — porcelain fused to high noble metal . . . . . . . . . . . . . . . . . . . 182.00 D2751 Crown — porcelain fused to predominantly base metal . . . . . . . . . . . . . . . . . . . . 163.00 D2752 Crown — porcelain fused to noble metal 177.00 D2780 Crown — 3/4 cast high noble metal 186.00 D2781 Crown — 3/4 cast predominantly base metal . . . . . . . . . . . . . . . . . . . . 186.00 D2782 Crown — 3/4 cast noble metal . . . 186.00 D2790 Crown — full cast high noble metal . 183.00 D2791 Crown — full cast predominantly base metal . . . . . . . . . . . . . . . . . . . . 170.00 D2792 Crown — full cast noble metal . . . . 178.00 D2794 Crown — titanium . . . . . . . . . . . . . 183.00 Other restorative services D2910 Recement inlay, onlay, or partial coverage restoration . . . . . . . . . . . . 27.00 D2915 Recement cast or prefabricated post and core . . . . . . . . . . . . . . . . . . . . . . 27.00

D2920 Recement crown . . . . . . . . . . . . . . . 27.00 D2921 Reattachment of tooth fragment, incisal edge or cusp . . . . . . . . . . . . . . . . . . 51.00 D2929 Prefabricated porcelain/ceramic crown — primary tooth . . . . . . . . . . 90.00 D2930 Prefabricated stainless steel crown — primary tooth . . . . . . . . . . . . . . . . . . 65.00 D2931 Prefabricated stainless steel crown — permanent tooth . . . . . . . . . . . . . . . 74.00 D2932 Prefabricated resin crown . . . . . . . . 80.00 D2933 Prefabricated stainless steel crown with resin window . . . . . . . . . . . . . . 90.00 D2934 Prefabricated esthetic coated stainless steel crown — primary tooth . . . . . 90.00 D2950 Core buildup, including any pins when required . . . . . . . . . . . . . . . . . 43.00 D2951 Pin retention — per tooth, in addition to restoration . . . . . . . . . . . . . . . . . . 20.00 D2952 Post and core in addition to crown, indirectly fabricated . . . . . . . . . . . . 92.00 D2954 Prefabricated post and core in addition to crown . . . . . . . . . . . . . . . . . . . . . . 75.00 D2960 Labial veneer (resin laminate) — chairside . . . . . . . . . . . . . . . . . . . . . 116.00 D2961 Labial veneer (resin laminate) — laboratory . . . . . . . . . . . . . . . . . . . . 128.00 D2962 Labial veneer (porcelain laminate) — laboratory . . . . . . . . . . . . . . . . . . 161.00 D2980 Crown repair necessitated by restorative material failure . . . . . . . . . . . . . . . . 25.00 D3000-D3999 ENDODONTICS Endodontic procedures are subject to a 6 month waiting period Pulpotomy D3220 Therapeutic pulpotomy (excluding final restoration) — removal of pulp coronal to the dentinocemental junction and application of medicament . . . . . . . 38.00 D3221 Pulpal debridement, primary or permanent teeth . . . . . . . . . . . . . . . 41.00 D3222 Partial pulpotomy for apexogenesis — permanent tooth with incomplete root development . . . . . . . . . . . . . . . . . . . 38.00 Endodontic therapy on primary teeth D3230 Pulpal therapy (resorbable filling) — anterior, primary tooth (excluding final restoration) . . . . . . . . . . . . . . . 38.00 D3240 Pulpal therapy (resorbable filling) — posterior, primary tooth (excluding final restoration) . . . . . . . . . . . . . . . 38.00 Endodontic therapy (including treatment plan, clinical procedures and follow-up care) D3310 Endodontic therapy, anterior tooth (excluding final restoration) . . . . . . . 193.00 D3320 Endodontic therapy, bicuspid tooth (excluding final restoration) . . . . . . . 227.00 D3330 Endodontic therapy, molar tooth (excluding final restoration) . . . . . . . 306.00

The above CDT 2014 codes and nomenclature are copyright of the American Dental Association. Note: This Appendix represents codes and nomenclature excerpted from the version of Current Dental Terminology (CDT) in effect on the date that this Contract or amendment was issued. CDT coding and nomenclature are the copyright of the American Dental Association, and have been accepted as the standard for data transmission purposes under federal Administrative Simplification regulations. For the purposes of this Appendix, Delta Dental’s administration of Benefits, Limitations and Exclusions under this Contract will at all times be based on the current version of CDT whether or not a revised Appendix B is provided. Notes in italic type have been added by Delta Dental for clarification.

4a

4b

Code Description Allowance

Code Description Allowance

Endodontic retreatment D3346 Retreatment of previous root canal therapy — anterior . . . . . . . . . . . . . 193.00 D3347 Retreatment of previous root canal therapy — bicuspid . . . . . . . . . . . . . 227.00 D3348 Retreatment of previous root canal therapy — molar . . . . . . . . . . . . . . . 306.00 Apexification/recalcification procedures D3351 Apexification/recalcification – initial visit (apical closure/calcific repair of perforations root resorption, pulp space disinfection, etc.) . . . . . . . . . . . . . . . . . . 56.00 D3352 Apexification/recalcification — interim medication replacement (apical closure/ calcific repair of perforations, root resorption, pulp space disinfection, etc.) 56.00 D3353 Apexification/recalcification — final visit (includes completed root canal therapy — apical closure/calcific repair of perforations, root resorption, etc) . . . . . . 56.00 Apicoectomy/periradicular services D3410 Apicoectomy — anterior . . . . . . . . . 240.00 D3421 Apicoectomy — bicuspid (first root) 257.00 D3425 Apicoectomy — molar (first root) . . . 294.00 D3426 Apicoectomy (each additional root) . 50.00 D3427 Periradicular surgery without apicoectomy . . . . . . . . . . . . . . . . . . 57.00 D3430 Retrograde filling — per root . . . . . 57.00 D3450 Root amputation — per root . . . . . . 166.00 Other endodontic procedures D3920 Hemisection (including any root removal), not including root canal therapy . . . 121.00 D4000-D4999 PERIODONTICS Periodontic procedures are subject to a 6 month waiting period Surgical services (including usual postoperative services) D4210 Gingivectomy or gingivoplasty — four or more contiguous teeth or tooth bounded spaces per quadrant . . . . . . . 128.00 D4211 Gingivectomy or gingivoplasty — one to three contiguous teeth or tooth bounded spaces per quadrant . . . . . . 77.00 D4212 Gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth . . . . . . . . . . . . . . . . . . . . . . . . 77.00 D4240 Gingival flap procedure, including root planing — four or more contiguous teeth or tooth bounded spaces per quadrant . . . . . . . . . . . . . . . . . . . . . 159.00 D4241 Gingival flap procedure, including root planing — one to three contiguous teeth or tooth bounded spaces per quadrant 95.00 D4245 Apically positioned flap . . . . . . . . . . 159.00 D4249 Clinical crown lengthening — hard tissue . . . . . . . . . . . . . . . . . . . . 96.00 D4260 Osseous surgery (including flap entry and closure) — four or more contiguous teeth or tooth bounded spaces per quadrant . . . . . . . . . . . . 342.00

D4261 Osseous surgery (including flap entry and closure) — one to three contiguous teeth or tooth bounded spaces per quadrant . . . . . . . . . . . . . . . . . . . . . 205.00 D4263 Bone replacement graft — first site in quadrant . . . . . . . . . . . . . . . . . . . 62.00 D4264 Bone replacement graft — each additional site in quadrant . . . . . . . 47.00 D4266 Guided tissue regeneration — resorbable barrier, per site . . . . . . . 135.00 D4267 Guided tissue regeneration — nonresorbable barrier, per site (includes membrane removal) . . . . . . . . . . . . . 135.00 D4268 Surgical revision procedure, per tooth . . . . . . . . . . . . . . . . . . . . . 135.00 D4270 Pedicle soft tissue graft procedure . . . 192.00 D4273 Subepithelial connective tissue graft procedures, per tooth . . . . . . . 233.00 D4277 Free soft tissue graft procedure (including donor site surgery), first tooth or edentulous tooth position in graft . . . . . . . . . . . . . . . . 208.00 D4278 Free soft tissue graft procedure (including donor site surgery), each additional contiguous tooth or edentulous tooth position in same graft site . . . . . . . . . . . . . . . . . . . . . 156.00 Non-surgical periodontal services D4341 Periodontal scaling and root planing — four or more teeth per quadrant . . 59.00 D4342 Periodontal scaling and root planing — one to three teeth per quadrant . . . . . 35.00 D4355 Full mouth debridement to enable comprehensive evaluation and diagnosis . . . . . . . . . . . . . . . . . . . . . 36.00 Other periodontal services D4910 Periodontal maintenance . . . . . . . . 41.00 D4920 Unscheduled dressing change (by someone other than treating dentist) . . . . . . . . . . . . . . . . . . . . . . . 36.00 D5000 – D5899 PROSTHODONTICS (REMOVABLE) Prosthodontic Removable procedures are subject to a 12 month waiting period Complete dentures (including routine postdelivery care) D5110 Complete denture — maxillary . . . . 240.00 D5120 Complete denture — mandibular . . 241.00 D5130 Immediate denture — maxillary . . . 240.00 D5140 Immediate denture — mandibular . 241.00 Partial dentures (including routine postdelivery care) D5211 Maxillary partial denture — resin base (including any conventional clasps, rests and teeth) . . . . . . . . . . . . . . . . 203.00 D5212 Mandibular partial denture — resin base (including any conventional clasps, rests and teeth) . . . . . . . . . . . . . . . . 212.00

The above CDT 2014 codes and nomenclature are copyright of the American Dental Association. Note: This Appendix represents codes and nomenclature excerpted from the version of Current Dental Terminology (CDT) in effect on the date that this Contract or amendment was issued. CDT coding and nomenclature are the copyright of the American Dental Association, and have been accepted as the standard for data transmission purposes under federal Administrative Simplification regulations. For the purposes of this Appendix, Delta Dental’s administration of Benefits, Limitations and Exclusions under this Contract will at all times be based on the current version of CDT whether or not a revised Appendix B is provided. Notes in italic type have been added by Delta Dental for clarification.

Code Description Allowance D5213 Maxillary partial denture — cast metal framework with resin denture bases (including any conventional clasps, rests and teeth) . . . . . . . . . . . . . . . . . 287.00 D5214 Mandibular partial denture — cast metal framework with resin denture bases (including any conventional clasps, rests and teeth) . . . . . . . . . . . . . . . . . 287.00 D5225 Maxillary partial denture — flexible base (including any clasps, rests and teeth) . . . . . . . . . . . . . . . . . . . . . . . . 216.00 D5226 Mandibular partial denture — flexible base (including any clasps, rests and teeth) . . . . . . . . . . . . . . . . . . . . . . . . 216.00 D5281 Removable unilateral partial denture — one piece cast metal (including clasps and teeth) . . . . . . . . . . . . . . . 120.00 Adjustments to dentures D5410 Adjust complete denture — maxillary . . . . . . . . . . . . . . . . . . . . . 13.00 D5411 Adjust complete denture — mandibular . . . . . . . . . . . . . . . . . . . . 13.00 D5421 Adjust partial denture — maxillary . . 14.00 D5422 Adjust partial denture — mandibular 14.00 Repairs to complete dentures D5510 Repair broken complete denture base 31.00 D5520 Replace missing or broken teeth — complete denture (each tooth) . . . . 25.00 Repairs to partial dentures D5610 Repair resin denture base . . . . . . . . 30.00 D5620 Repair cast framework . . . . . . . . . . 25.00 D5630 Repair or replace broken clasp . . . . 36.00 D5640 Replace broken teeth — per tooth . 27.00 D5650 Add tooth to existing partial denture . 31.00 D5660 Add clasp to existing partial denture 37.00 Denture rebase procedures D5710 Rebase complete maxillary denture . . 94.00 D5711 Rebase complete mandibular denture 93.00 D5720 Rebase maxillary partial denture . . 89.00 D5721 Rebase mandibular partial denture . . 91.00 Denture reline procedures D5730 Reline complete maxillary denture (chairside) . . . . . . . . . . . . . . . . . . . . 46.00 D5731 Reline complete mandibular denture (chairside) . . . . . . . . . . . . . . . . . . . . 45.00 D5740 Reline maxillary partial denture (chairside) . . . . . . . . . . . . . . . . . . . . . 45.00 D5741 Reline mandibular partial denture (chairside) . . . . . . . . . . . . . . . . . . . . 47.00 D5750 Reline complete maxillary denture (laboratory) . . . . . . . . . . . . . . . . . . . 70.00 D5751 Reline complete mandibular denture (laboratory) . . . . . . . . . . . . . . . . . . . 70.00 D5760 Reline maxillary partial denture (laboratory) . . . . . . . . . . . . . . . . . . . 71.00 D5761 Reline mandibular partial denture (laboratory) . . . . . . . . . . . . . . . . . . . 71.00

Code Description Allowance Interim prosthesis D5820 Interim partial denture (maxillary) . . . 85.00 D5821 Interim partial denture (mandibular) . . 85.00 Other removable prosthetic services D5850 Tissue conditioning — maxillary . . 25.00 D5851 Tissue conditioning — mandibular . 24.00 D5863 Overdenture — complete maxillary 240.00 D5864 Overdenture — partial maxillary . . 287.00 D5865 Overdenture — complete mandibular. 241.00 D5866 Overdenture – partial mandibular. . 287.00 D6200 – D6999 PROSTHODONTICS, FIXED Each retainer and each pontic constitutes a unit in a fixed partial denture Fixed prosthodontic procedures are subject to a 6 month waiting period Fixed partial denture pontics D6210 Pontic — cast high noble metal . . . . . 171.00 D6211 Pontic — cast predominantly base metal 138.00 D6212 Pontic — cast noble metal . . . . . . . 168.00 D6214 Pontic — titanium . . . . . . . . . . . . . . 171.00 D6240 Pontic — porcelain fused to high noble metal . . . . . . . . . . . . . . . . . . . . . . . . 176.00 D6241 Pontic — porcelain fused to predominantly base metal . . . . . . . . . . . . . . . . . . . . 155.00 D6242 Pontic — porcelain fused to noble metal 170.00 D6250 Pontic — resin with high noble metal . 176.00 D6251 Pontic — resin with predominantly base metal . . . . . . . . . . . . . . . . . . . . 155.00 D6252 Pontic — resin with noble metal . . . . 170.00 Fixed partial denture retainers — inlays/onlays D6545 Retainer — cast metal for resin bonded fixed prosthesis . . . . . . . . . . . . . . . . 88.00 D6602 Inlay — cast high noble metal, two surfaces . . . . . . . . . . . . . . . . . . . . . . 121.00 D6603 Inlay — cast high noble metal, three or more surfaces . . . . . . . . . . . . . . . . . 135.00 D6604 Inlay — cast predominantly base metal, two surfaces . . . . . . . . . . . . . . . . . . 121.00 D6605 Inlay — cast predominantly base metal, three or more surfaces . . . . . . . . . . 135.00 D6606 Inlay — cast noble metal, two surfaces 121.00 D6607 Inlay — cast noble metal, three or more surfaces . . . . . . . . . . . . . . . . . . . . . . 135.00 D6610 Onlay — cast high noble metal, two surfaces . . . . . . . . . . . . . . . . . . . . . . 288.00 D6611 Onlay — cast high noble metal, three or more surfaces . . . . . . . . . . . . . . . 288.00 D6612 Onlay — cast predominantly base metal, two surfaces . . . . . . . . . . . . . . . . . . 288.00 D6613 Onlay — cast predominantly base metal, three or more surfaces . . . . . . . . . . 288.00 D6614 Onlay — cast noble metal, two surfaces 288.00 D6615 Onlay — cast noble metal, three or more surfaces . . . . . . . . . . . . . . . . . 288.00 D6624 Inlay — titanium . . . . . . . . . . . . . . . 135.00 D6634 Onlay — titanium . . . . . . . . . . . . . . 288.00 Fixed partial denture retainers — crowns D6720 Crown — resin with high noble metal 181.00

The above CDT 2014 codes and nomenclature are copyright of the American Dental Association. Note: This Appendix represents codes and nomenclature excerpted from the version of Current Dental Terminology (CDT) in effect on the date that this Contract or amendment was issued. CDT coding and nomenclature are the copyright of the American Dental Association, and have been accepted as the standard for data transmission purposes under federal Administrative Simplification regulations. For the purposes of this Appendix, Delta Dental’s administration of Benefits, Limitations and Exclusions under this Contract will at all times be based on the current version of CDT whether or not a revised Appendix B is provided. Notes in italic type have been added by Delta Dental for clarification.

5

Code Description Allowance D6721 Crown — resin with predominantly base metal . . . . . . . . . . . . . . . . . . . . 161.00 D6722 Crown — resin with noble metal . . 175.00 D6750 Crown — porcelain fused to high noble metal . . . . . . . . . . . . . . . . . . . 181.00 D6751 Crown — porcelain fused to predominantly base metal . . . . . . . . . . . . . . . . . . . . 161.00 D6752 Crown — porcelain fused to noble metal 175.00 D6780 Crown — 3/4 cast high noble metal . 181.00 D6781 Crown — 3/4 cast predominantly base metal . . . . . . . . . . . . . . . . . . . . . . . . 181.00 D6782 Crown — 3/4 cast noble metal . . . 181.00 D6790 Crown — full cast high noble metal . 180.00 D6791 Crown — full cast predominantly base metal . . . . . . . . . . . . . . . . . . . . . . . . 159.00 D6792 Crown — full cast noble metal . . . . 175.00 D6794 Crown — titanium . . . . . . . . . . . . . 180.00 Other fixed partial denture services D6930 Recement fixed partial denture . . . . 33.00 D6940 Stress breaker . . . . . . . . . . . . . . . . . 38.00 D6980 Fixed partial denture repair necessitated by restorative material failure . . . . . 50.00

D7000 — D7999 ORAL AND MAXILLOFACIAL SURGERY The folllowing procedures are subject to a 6 month waiting period Extractions (includes local anesthesia, suturing, if needed, and routine postoperative care) D7111 Extraction, coronal remnants deciduous tooth . . . . . . . . . . . . . . . . 20.00 D7140 Extraction, erupted tooth or exposed root (elevation and/or forceps removal) . . . . . . . . . . . . . . . . . . . . . . 39.00 Surgical extractions (includes local anesthesia, suturing, if needed, and routine postoperative care) D7210 Surgical removal of erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated . . . . . 74.00 D7220 Removal of impacted tooth — soft tissue . . . . . . . . . . . . . . . . . . . . 90.00 D7230 Removal of impacted tooth — partially bony . . . . . . . . . . . . . . . . . . 117.00 D7240 Removal of impacted tooth — completely bony . . . . . . . . . . . . . . . 134.00 D7250 Surgical removal of residual tooth roots (cutting procedure) . . . . . . . . . 78.00 Other surgical procedures D7260 Oroantral fistual closure . . . . . . . . . 225.00 D7261 Primary closure of a sinus perforation . . 225.00 D7270 Tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth . . . . . . . . . . . . . . . 132.00

5a

Code Description Allowance D7272 Tooth transplantation (includes reimplantation from one site to another and splinting and/or stabilization) . . . . . . . . . . . . . . . . . . . 98.00 D7280 Surgical access of unerupted tooth 176.00 D7285 Biopsy of oral tissue — hard (bone, tooth) . . . . . . . . . . . . . . . . . . 136.00 D7286 Biopsy of oral tissue — soft . . . . . . 108.00 Alveoloplasty — surgical preparation of ridge for dentures D7310 Alveoloplasty in conjunction with extractions— per quadrant . . . . . . . 59.00 D7311 Alveoloplasty in conjunction with extractions — one to three teeth or tooth spaces, per quadrant . . . . . . . . . . . . . 36.00 D7320 Alveoloplasty not in conjunction with extractions — per quadrant . . . . . . 96.00 D7321 Alveoloplasty not in conjunction with extractions — one to three teeth or tooth spaces, per quadrant . . . . . . . . . . . . . 58.00 Vestibuloplasty D7340 Vestibuloplasty — ridge extension (secondary epithelialization) . . . . . . 82.00 D7350 Vestibuloplasty — ridge extension (including soft tissue grafts, muscle reattachment, revision of soft tissue attachment and management of hypertrophied and hyperplastic tissue) . . . . . . . . . 218.00 Surgical excision of soft tissue lesions D7411 Excision of benign lesion greater than 125 cm . . . . . . . . . . . . . . . . . . . . . . . 240.00 D7465 Destruction of lesion(s) by physical or chemical method, by report . . . . . . . . 100.00 Surgical excision of intra-osseous lesions D7440 Excision of malignant tumor — lesion diameter up to 1.25 cm . . . . . . . . . . 110.00 D7441 Excision of malignant tumor — lesion diameter greater than 1.25 cm . . . . 160.00 D7450 Removal of benign odontogenic cyst or tumor — lesion diameter up to 125 cm 131.00 D7451 Removal of benign odontogenic cyst or tumor — lesion diameter greater than 125 cm . . . . . . . . . . . . . . . . . . . . . . . 273.00 D7460 Removal of benign nonodontogenic cyst or tumor — lesion diameter up to 125 cm . . . . . . . . . . . . . . . . . . . . . 128.00 D7461 Removal of benign nonodontogenic cyst or tumor — lesion diameter greater than 125 cm . . . . . . . . . . . . 220.00 Excision of bone tissue D7471 Removal of lateral exostosis (maxilla or mandible) . . . . . . . . . . . . . . . . . . . 162.00 D7472 Removal of torus palatinus . . . . . . . 162.00 D7473 Removal of torus mandibularis . . . . 162.00 D7485 Surgical reduction of osseous tuberosity 162.00 D7490 Radical resection of maxilla or mandible . . . . . . . . . . . . . . . . . . . . . 1,000.00

The above CDT 2014 codes and nomenclature are copyright of the American Dental Association. Note: This Appendix represents codes and nomenclature excerpted from the version of Current Dental Terminology (CDT) in effect on the date that this Contract or amendment was issued. CDT coding and nomenclature are the copyright of the American Dental Association, and have been accepted as the standard for data transmission purposes under federal Administrative Simplification regulations. For the purposes of this Appendix, Delta Dental’s administration of Benefits, Limitations and Exclusions under this Contract will at all times be based on the current version of CDT whether or not a revised Appendix B is provided. Notes in italic type have been added by Delta Dental for clarification.

Code Description Allowance Surgical incision D7510 Incision and drainage of abscess — intraoral soft tissue . . . . . . . . . . . . . 48.00 D7520 Incision and drainage of abscess — extraoral soft tissue . . . . . . . . . . . . 70.00 D7530 Removal of foreign body from mucosa, skin or subcutaneous alveolar tissue . 59.00 D7540 Removal of reaction-producing foreign bodies, musculoskeletal system . . . . . . . . . . . . . . . . . . . . . . . 60.00 D7550 Partial ostectomy/sequestrectomy for removal of non-vital bone . . . . . 85.00 D7560 Maxillary sinusotomy for removal of tooth fragment or foreign body . . . . 237.00 Treatment of fractures — simple D7610 Maxilla — open reduction (teeth immobilized, if present) . . . . . . . . . . 470.00 D7620 Maxilla — closed reduction (teeth immobilized, if present) . . . . . . . . . . 377.00 D7630 Mandible — open reduction (teeth immobilized, if present) . . . . . . . . . . 929.00 D7640 Mandible — closed reduction (teeth immobilized, if present) . . . . . . . . . . 890.00 D7650 Malar and/or zygomatic arch — open reduction . . . . . . . . . . . . . . . . . 600.00 D7660 Malar and/or zygomatic arch — closed reduction . . . . . . . . . . . . . . . 200.00 D7670 Alveolus closed reduction may include stabilization of teeth . . . . . . 190.00 D7680 Facial bones — complicated reduction with fixation and multiple surgical approaches . . . . . . . . . . . . . . . . . . . . 1,000.00 Treatment of fractures — compound D7710 Maxilla open reduction . . . . . . . . . . 38.00 D7720 Maxilla — closed reduction . . . . . . 23.00 D7730 Mandible — open reduction . . . . . . 1,000.00 D7740 Mandible — closed reduction . . . . 748.00 D7750 Malar and/or zygomatic arch — open reduction . . . . . . . . . . . . . . . . . 800.00 D7760 Malar and/or zygomatic arch — closed reduction . . . . . . . . . . . . . . . 200.00 D7770 Alveolus — open reduction stabilization of teeth . . . . . . . . . . . . . . . . . . . . . . 300.00 D7780 Facial bones — complicated reduction with fixation and multiple surgical approaches . . . . . . . . . . . . . . . . . . . . 1,000.00 Reduction of dislocation and management of other temporomandibular joint dysfunctions D7810 Open reduction of dislocation . . . . . 800.00 D7820 Closed reduction of dislocation . . . . 61.00 D7830 Manipulation under anesthesia . . . 172.00 Repair of traumatic wounds D7910 Suture of recent small wounds up to 5 cm . . . . . . . . . . . . . . . . . . . . . . . 200.00

Code Description Allowance Complicated suturing (reconstruction requiring delicate handling of tissues and wide undermining for meticulous closure) D7911 Complicated suture — up to 5 cm . . . 400.00 D7912 Complicated suture — greater than 5 cm . . . . . . . . . . . . . . . . . . . . . 600.00 Other repair procedures D7960 Frenulectomy — also known as frenectomy or frenotomy — separate procedure not incidental to another procedure . . . . . . . . . . . . . . . . . . . . . 115.00 D7970 Excision of hyperplastic tissue — per arch . . . . . . . . . . . . . . . . . . . . . . 88.00 D7971 Excision of pericoronal gingiva . . . . 43.00 D7972 Surgical reduction of fibrous tuberosity . . . . . . . . . . . . . . . . . . . . . 43.00 D7980 Sialolithotomy . . . . . . . . . . . . . . . . . 233.00 D7981 Excision of salivary gland, by report . . . . . . . . . . . . . . . . . . . . . 1,000.00 D7982 Sialodochoplasty . . . . . . . . . . . . . . . 50.00 D7983 Closure of salivary fistula . . . . . . . . 20.00

D9000 – D9999 ADJUNCTIVE GENERAL SERVICES Unclassified treatment D9110 Palliative (emergency) treatment of dental pain-minor procedure . . . . . . 41.00 Anesthesia D9220 Deep sedation/general anesthesia — first 30 minutes . . . . . . . . . . . . . 100.00 D9221 Deep sedation/general anesthesia — each additional 15 minutes . . . . 36.00 Professional visits D9310 Consultation — diagnostic service provided by dentist or physician other than requesting dentist or physician . . 43.00 D9430 Office visit for observation (during regularly scheduled hours) — no other services performed . . . . . . . . 24.00 D9440 Office visit — after regularly scheduled hours . . . . . . . . . . . . . . . 49.00 Miscellaneous services D9930 Treatment of complications (post-surgical) — unusual circumstances, by report . . . . . . . . . 19.00 D9951 Occlusal adjustment — limited . . . 32.00 Drugs D9610 Therapeutic parenteral drug, single administration . . . . . . . . . . . . . . . . . 6.00 D9612 Therapeutic parenteral drugs, two or more administrations, different medications . . . . . . . . . . . . . . . . . . . 6.00

The above CDT 2014 codes and nomenclature are copyright of the American Dental Association. Note: This Appendix represents codes and nomenclature excerpted from the version of Current Dental Terminology (CDT) in effect on the date that this Contract or amendment was issued. CDT coding and nomenclature are the copyright of the American Dental Association, and have been accepted as the standard for data transmission purposes under federal Administrative Simplification regulations. For the purposes of this Appendix, Delta Dental’s administration of Benefits, Limitations and Exclusions under this Contract will at all times be based on the current version of CDT whether or not a revised Appendix B is provided. Notes in italic type have been added by Delta Dental for clarification.

5b

n How to enroll in KPIC’s Dental Insurance Plan

1) Complete the enrollment form on page 7 , or you also have the option to enroll online by visiting www.dentalinfo.biz/kpic_enrollment.html. If you are already a Kaiser Permanente member, please include a copy of your Kaiser Permanente ID card. If you are not yet a Kaiser Permanente member, please include a copy of your Medical Enrollment Form (Form SF 2809). You must be a Federal member of Kaiser Permanente to enroll.

2) Sign the form to authorize automatic payment from your checking, savings or credit union account. Be sure to enclose a voided blank check or deposit form from this account. Call your bank to obtain the automatic deposit routing number and write the number on the payment authorization form. 3) Return the first month’s payment and enrollment materials by December 21, 2013, to: KPIC Federal Employee Group Dental Insurance Plan Wolfpack Insurance Services, Inc. P.O. Box 720 Belmont, CA 94002-0720 4) If your payment and enrollment materials are received by KPIC’s Administrator by December 21, 2013, your effective date of coverage (including your eligible dependents) will be January 1, 2014. n Monthly Rates for Calendar Year 2013:



One person...................................................... $30.80 Two persons.................................................... $54.59 Three or more persons.................................... $82.06

n Payment of Monthly Charges

The dental coverage described in this brochure will not become effective until KPIC or its Administrator receives the initial premium from the eligible Federal Employee. The due date for subsequent premiums is the 10th day of each month. The Insured agrees to pay subsequent premiums no later than 31 days following the premium due date, unless the Insured has given notice requesting termination of dental coverage under the Certificate in accordance with the Termination section of the Certificate. The Insured will be responsible for the payment of the pro rata premium for the time dental coverage under the Certificate was in force during the 31-day grace period. n Billing

To ensure timely processing of your benefits and claim payments, it is necessary that premiums be paid during the month prior to the coverage month. There are two payment options. You may choose to have your monthly premiums deducted from your checking, savings or credit union account on the 10th of each month prior to the coverage month (e.g., April dues will be deducted on March 10). Please complete the Automatic Payment Authorization form on page 8 of this brochure. If you do not have a checking, savings or credit union account, you may submit payments via a personal check, money order, etc. When completing the enrollment form, write DIRECT PAY across the top of page 8, “Automatic Payment Authorization.” You will be sent monthly invoices to submit with your premium payments. Premiums must be paid by the 10th of each month prior to the coverage month.

6

Wolfpack Insurance Services Inc. P.O. Box 720 Belmont, CA 94002-0720 KAISER PERMANENTE INSURANCE COMPANY Oakland, California

GROUP DENTAL ENROLLMENT FORM

ENROLLMENT FORM

Instructions: Please complete this Group Dental Enrollment Form and return a signed copy with your first month’s payment by December 21, 2013 to:

Enrollment Information — F ailure to accurately complete the questions on the enrollment form may delay the effective date of your coverage under the KPIC Dental Insurance Plan. Your full name

Social Security Number or 10-digit Kaiser Permanente Medical Record Number

Mailing address



City  Male  Female Date of birth

State / /

Phone number

(

)

ZIP



Please list eligible dependents to be covered in addition to yourself: Spouse

 Male

 Female Date of birth

/ /

Child

 Male

 Female Date of birth

/ /

Child

 Male

 Female Date of birth

/ /

Child

 Male

 Female Date of birth

/ /

Child

 Male

 Female Date of birth

/ /

Child

 Male

 Female Date of birth

/ /

Enrollment — Coverage not elected below will be assumed refused if not specifically refused.  Yes, I would like to enroll in the Kaiser Permanente Insurance Company (KPIC) Group Dental Plan for Federal Employees. I understand that enrollment is voluntary. By electing to enroll, I agree to participate in the KPIC Trust (and/or any successor Trust), which holds the KPIC Group Dental Policy. I understand that to be eligible for the Plan, I must be enrolled along with any of my dependents to be covered, in Kaiser Permanente’s Traditional HMO Plan for Federal Enrollees. I further understand that my continued eligibility, and that of my covered dependents, is contingent on our continued enrollment in Kaiser Permanente’s Traditional HMO Plan for Federal Enrollees. I also understand that some covered dental services are subject to waiting periods. I certify that to the best of my knowledge and belief, any information disclosed on this enrollment form, is accurate and that my answers are correct, true and complete.  No, I do not wish to participate. I understand that I will not be entitled to any benefits under the KPIC Group Dental Plan and will not be able to enroll until the next annual renewal period. (Coverage not elected will be assumed refused, even if not specifically refused.)

Signature of enrollee ___________________________________________________________________ Date ______________________________

KPIC — Enroll — 9793 (rev. 7/2012)

7

AUTOMATIC PAYMENT AUTHORIZATION Banking information:  Checking account Routing Transit Number (RTN): Account number:

 Savings account

 Credit union account The two numbers of the RTN must be 01first through 12 or 21

□□□□□□□□□

this number □□□□□□□□□□□□□□□□□(Verify with your bank)

Branch name ________________________________________________________ Branch number ______________________________________ Telephone number

(

)



Automatic Payment Authorization — Please enclose a voided check or preprinted deposit slip from the account checked. I (we-hereby authorize Delta/Wolfpack Insurance Services, Inc. to charge the applicable monthly dues for 12 months of dental coverage to my account designated above. I understand that coverage will become and remain effective only if there are sufficient funds at the time of the deduction. I agree to comply with the terms as outlined in the combined evidence of coverage and disclosure form. This authority is to remain in full force and effect until I notify Delta Dental in writing 30 days prior to termination. (My bank is authorized to make corrections if any should be necessary.) Signature of enrollee __________________________________________________________ Date _______________________________________ Signature of spouse ____________________________________________________________ Date _______________________________________ James Smith 122 Main St. Anyplace, NY 10000

PAY TO THE ORDER OF

221 15-0000/0000 ______________________ 20 _______

Wolfpack Insurance Services, Inc

$

Attach check here

DOLLARS NOTE: Staple the check in this space. Use only a check from the account that corresponds to the banking information above. ANYPLACE BANK Anyplace, NY 10000 RTN Payment instructions: Payments are due retroactively to the month you For and/or dependents enrolled in the Kaiser Federal Employee Dental Plan 1: 250000005 1 :2000000 86 plus one month in advance. After payment and application are received, the first automatic payment will occur on the 10th of the following month and each month thereafter.

(Please enclose a voided check or preprinted deposit slip from the account checked.) CHECKS OR MONEY ORDERS MUST BE PAYABLE TO WOLFPACK INSURANCE SERVICES, INC. To enroll in the KPIC DENTAL insurance plan, please complete the enrollment form in this brochure (page 7-and enclose the first month’s payment (payable to Wolfpack Insurance Services, Inc.). Return the enrollment form and the first month’s payment by December 21, 2013 to: Wolfpack Insurance Services, Inc. P.O. Box 720 Belmont, CA 94002-0720 Make checks payable to Wolfpack Insurance Services, Inc. Staple your check in the space provided on this form. Use only a check that corresponds to the banking information you have provided. Payment instructions: Payments are due retroactively to the month you and/or dependents enrolled in the Kaiser Federal Employee Dental Plan plus one month in advance. After payment and application are received, the first automatic payment will occur on the 10th of the following month and each month thereafter.

8

DeltaCare® USA One of your non-FEHB Dental benefit options, DeltaCare USA, is provided by Delta Dental of California, and administered by Delta Dental Insurance Company. With DeltaCare USA, you select a conveniently located network dentist to provide dental care for you and your family. You pay a set copayment or, for some services, no copayment. There are no deductibles and no claim forms to worry about. The dues for 2014 are listed below: Dues*



Monthly*

Self Only $ 12.83 Self & One Party $ 21.48 Self & Two or More $ 32.56 *Good through December 31, 2014.

Quarterly* $ 38.49 $ 64.44 $ 97.68

These benefits are neither offered nor guaranteed under contract with the FEHB Program, but are made available to all enrollees and family members of this Plan.

NOTE: This is only a brief summary of the program. An Evidence of Coverage stating the terms of your program will be sent to you upon enrollment. Please read the following information so you will know how to get dental care under the DeltaCare USA program. n About DeltaCare USA The DeltaCare USA program is an HMO dental plan that focuses on preventing dental problems and assuring the delivery of quality dental care.

Delta Dental of California has contracted with a network of dental offices. A listing of these offices is included for you in the back of this brochure, or you may go to deltadentalins.com to search for a conveniently located network dentist. The network of dental offices is composed of established dental practices. n WHO CAN JOIN As a Federal member of Kaiser Permanente, you are eligible to join the DeltaCare USA program.

Your eligible dependents include your lawful spouse and dependent children under 26 years old, including stepchildren and children placed with you for adoption or foster care. A child 26 years of age or older may continue to be eligible as a dependent if incapable of self-support because of physical handicap or mental retardation that commenced prior to age 26, provided that the person is legally residing with and dependent

upon the eligible member, and Delta Dental receives notice of the disability. n EMERGENCY SERVICES Dental emergencies are covered up to a maximum of $100.00 per emergency, per Enrollee, less applicable copayment(s). n NO CLAIM FORMS The dental location you choose provides all primary dental services. There are no claim forms to complete or percentage of usual charges for you to pay. n NO DEDUCTIBLES With the DeltaCare USA program, there are no required deductibles to pay, so your benefits begin immediately. n NO DOLLAR LIMIT OF DENTAL BENEFITS No annual maximum, except for accidental injury. n PRE-EXISTING CONDITION RESTRICTIONS Pre-existing conditions are not excluded in the DeltaCare USA program. Exception: work in progress. n PREPAID PROGRAM SAVES ON DENTAL COSTS Your out-of-pocket savings could be substantial. You know the exact cost prior to treatment, allowing you to predict future dental expenses. When you enroll in this program, you are enrolling for a period of one year. This does not apply if your employment is terminated. n QUALITY REVIEW OF DENTAL PROVIDERS On-site audits of participating dental locations ensure that established standards of quality are maintained. n SPECIALTY SERVICES The DeltaCare USA program offers services in dental specialty areas. These include periodontics (treatment of diseased gums and bone), endodontics (root canal therapy) and oral surgery procedures. Specialty services must be referred by the assigned network dentist and preauthorized, in writing by Delta Dental. If an enrollee is assigned to a dental school clinic for specialist services, those services may be provided by a dentist, a dental instructor, a clinician or a dental student under the supervision of a dentist. The DeltaCare USA program provides benefits for listed dental procedures (subject to the provisions, limitations and exclusions shown in the Combined Evidence of Coverage and Disclosure Form) if care is provided by your assigned network dentist.

9

When you enroll in DeltaCare USA, you select a participating dental office from the network directory to take care of dental needs for you and your family. After you have enrolled, you will receive an Evidence of Coverage booket that fully describes the benefits of your dental program, a welcome letter and a DeltaCare USA membership card. The welcome letter will have the address and telephone number of your participating network dentist. To receive all necessary dental care covered by the program, simply call your selected dental office to make an appointment. Remember to always contact your network dentist. Dental services which are not performed by this dentist or are not authorized in advance by Delta Dental will not be covered under the DeltaCare USA program. LIMITATIONS OF BENEFITS (PARTIAL LIST) • Prophylaxis is limited to two treatments at no cost in any 12 consecutive months; additional treatments are available with a $27 patient copayment. • Full upper and/or lower dentures are not to exceed one each in any five-year period. • Replacement of partial dentures within any five-year period is not covered unless necessary due to natural tooth loss where the addition or replacement of teeth to the existing partial is not feasible. •Denture relines are limited to one per denture during any 12 consecutive months. • Periodontal treatments (root planing/ subgingival curettage) are limited to five quadrants during any 12 consecutive months. • Bitewing x-rays are limited to not more than one series of four films in any six-month period. • Full mouth x-rays are limited to one set every 24 consecutive months. • Sealants are limited to noncarious, nonrestored permanent first and second molars through age 15. EXCLUSIONS (PARTIAL LIST)

10

The following services are not covered. • General anesthesia and the services of a special anesthesiologist. • Cosmetic dental care. • Dental conditions arising out of and due to the enrollee’s employment or for which Workers’ Compensation is payable. Services which are provided to the enrollee by state government or agency thereof, or are provided without cost to the enrollee by any municipality, county or other subdivisions. • Dental services performed in a hospital and related hospital fees. • Loss or theft of fixed and removable prosthetics (crowns, bridges, full or partial dentures). • Dental expenses incurred in connection with any dental procedure started after termination of eligibility of coverage.

• Any service that is not specifically listed as a covered procedure. • Dental expenses incurred in connection with any dental procedure started prior to the enrollee’s eligibility. Example: teeth prepared for crowns, root canals in progress, orthodontics. • Congenital malformations. • Dispensing of drugs not normally supplied in a dental office. • Cases in which, in the professional judgment of the attending dentist, a satisfactory result cannot be obtained or where the prognosis is poor or guarded. • Dental services received from any dental office other than the assigned dental office unless expressly authorized in writing by Delta Dental or as cited under “Emergency Services”. • Prophylactic removal of impactions (asymptomatic nonpathological). • “Consultations” for noncovered services. • Implant placement or removal, appliances placed on, or services associated with, implants. ORTHODONTIC LIMITATIONS AND EXCLUSIONS (PARTIAL LIST) • Orthodontic treatment must be provided by a member of the orthodontic network. • Program benefits cover 24 months of usual and customary orthodontic treatment. • If your coverage is terminated for any reason, and you are receiving any orthodontic treatment at the time, your copayment shall be $2,300 for dependent children to age 19 (and $2,500 for covered adults and dependent adult children) and be prorated over the number of months to completion of the treatment. Terms and conditions are arranged between you and the orthodontist. • A consultation fee may be charged if treatment is not required, or if you elect not to start treatment after a diagnosis and consultation have been completed. • Pre-, mid- and post-treatment records (cephalometric x-rays, tracings, photographs and study models) are excluded. • Retreatment of orthodontic cases is excluded. • Lost, stolen or broken appliances are excluded. • Orthodontic treatment in progress is limited to new DeltaCare USA enrollees who, at the time of their original effective date, are in active treatment started under their previous employer sponsored dental plan, as long as they continue to be eligible under the DeltaCare USA program. Active treatment means tooth movement has begun. Enrollees are responsible for all copayments and fees subject to the provisions of their prior dental plan. Delta Dental is financially responsible only for amounts unpaid by the prior dental plan for qualifying orthodontic cases.

Schedule A Description of Benefits and Copayments The benefits shown below are performed as deemed appropriate by the attending Contract Dentist subject to the limitations and exclusions of the program. Please refer to Schedule B for further clarification of benefits. Enrollees should discuss all treatment options with their Contract Dentist prior to services being rendered. Text that appears in italics below is specifically intended to clarify the delivery of benefits under the DeltaCare USA program and is not to be interpreted as CDT 2014 procedure codes, descriptors or nomenclature that are under copyright by the American Dental Association. The American Dental Association may periodically change CDT codes or definitions. Such updated codes, descriptors and nomenclature may be used to describe these covered procedures in compliance with federal legislation. Code Description Enrollee Pays

Code Description Enrollee Pays

D0100-D0999 DIAGNOSTIC D0120 Periodic oral evaluation — established patient . . . . . . . . . . . . No Cost D0140 Limited oral evaluation — problem focused . . . . . . . . . . . . . . No Cost D0145 Oral evaluation for a patient under three years of age and counseling with primary caregiver . . . . . . . . . No Cost D0150 Comprehensive oral evaluation — new or established patient . . . . . No Cost D0160 Detailed and extensive oral evaluation — problem focused, by report . . . . . . . . . . . . . . . . . . . . No Cost D0170 Re-evaluation — limited, problem focused (established patient; not post-operative visit) . . . . . . . . . . . No Cost D0180 Comprehensive periodontal evaluation — new or established patient . . . . . . . . . . . . . . . . . . . . . . No Cost D0190 Screening of a patient . . . . . . . . . No Cost D0191 Assessment of a patient . . . . . . . No Cost D0210 Intraoral — complete series of radiographic images — limited to 1 series every 24 months . . . . . . . No Cost D0220 Intraoral — periapical first radiographic image . . . . . . . . . . . . No Cost D0230 Intraoral — periapical each additional radiographic image . . . No Cost D0240 Intraoral — occlusal radiographic image . . . . . . . . . . . . . . . . . . . . . . No Cost D0270 Bitewing — single radiographic image . . . . . . . . . . . . . . . . . . . . . . No Cost D0272 Bitewings — two radiographic images No Cost D0273 Bitewings — three radiographic images . . . . . . . . . . . . . . . . . . . . . No Cost D0274 Bitewings — four radiographic images — limited to 1 in 6 months . . . . . . . . . . . . . . . . . . . . . No Cost D0330 Panoramic radiographic image . . . No Cost D0460 Pulp vitality tests . . . . . . . . . . . . . No Cost D0470 Diagnostic casts . . . . . . . . . . . . . . No Cost D0473 Accession of tissue, gross and microscopic examination, preparation and transmission written report . . No Cost D0474 Accession of tissue, gross and microscopic examination, including assessment of surgical margins for presence of disease, preparation and transmission of written report . . . . . No Cost D0999 Unspecified diagnostic procedure, by report — includes office visit, per visit (in addition to other services) . . . . . . . . . . . . . . . 10.00

D1000-D1999 PREVENTIVE D1110 Prophylaxis cleaning — adult — 2 per 12 month period . . . . . . . . . No Cost D1110 Additional cleaning — adult within the 6 month period . . . . . . . . . . . . 27.00 D1120 Prophylaxis cleaning — child — 2 per 12 month period . . . . . . . . . No Cost D1120 Additional cleaning — child within the 6 month period . . . . . . . . . . . . 27.00 D1206 Topical application of fluoride varnish — child to age 19; 2 per 12 month period . . . . . . . . . . . No Cost D1208 Topical application of fluoride — child to age 19; 2 per 12 month period . . . . . . . . . . . . . . . . . No Cost D1330 Oral hygiene instructions . . . . . . . No Cost D1351 Sealant — per tooth — limited to permanent molars through age 15 . . . . . . . . . . . . . . . . . . . . . . 15.00 D1352 Preventive resin restoration in a moderate to high caries risk patient — permanent tooth — limited o permanent molars through age 15 . . . . . . . . . . . . . . . . . . . . . . 15.00 D1510 Space maintainer — fixed — unilateral . . . . . . . . . . . . . . . . . 65.00 D1515 Space maintainer — fixed — bilateral . . . . . . . . . . . . . . . . . . . . . 65.00 D1520 Space maintainer — removable — unilateral . . . . . . . . . . . . . . . . . 65.00 D1525 Space maintainer — removable — bilateral . . . . . . . . . . . . . . . . . . 65.00 D1550 Re-cementation of space maintainer 20.00 D1555 Removal of fixed space maintainer . 20.00 D2000 — D2999 RESTORATIVE D2140 Amalgam — one surface, primary or permanent . . . . . . . . . . . . . . . . 27.00 D2150 Amalgam — two surfaces, primary or permanent . . . . . . . . . . . . . . . . 32.00 D2160 Amalgam — three surfaces, primary or permanent . . . . . . . . . . . . . . . . 37.00 D2161 Amalgam — four or more surfaces, primary or permanent . . . . . . . . . . 50.00 D2330 Resin-based composite — one surface, anterior . . . . . . . . . . . . . . 75.00 D2331 Resin-based composite — two surfaces, anterior . . . . . . . . . . . . . 80.00 D2332 Resin-based composite — three surfaces, anterior . . . . . . . . . . . . . 80.00 D2335 Resin-based composite — four or more surfaces or involving incisal angle (anterior) . . . . . . . . . . . . . . . 80.00 D2390 Resin-based composite crown, anterior 60.00

11

Code Description Enrollee Pays D2391 Resin-based composite — one surface, posterior1, 2 . . . . . . . . . . . . . . . . . . Optional D2392 Resin-based composite — two surfaces, posterior1, 2 . . . . . . . . . . Optional D2393 Resin-based composite — three surfaces, posterior1, 2 . . . . . . . . . . Optional D2394 Resin-based composite — four or more surfaces posterior1, 2 . . . . . . Optional D2510 Inlay — metallic — one surface2, 3 . Optional D2520 Inlay — metallic — two surfaces2, 3 Optional D2530 Inlay — metallic — three or more surfaces2, 3 . . . . . . . . . . . . . . . . . . . Optional D2542 Onlay — metallic — two surfaces2, 3 . . . . . . . . . . . . . . . . . . . Optional D2543 Onlay — metallic — three surfaces2, 3 . . . . . . . . . . . . . . . . . . . Optional

11a

D2000 — D2999 RESTORATIVE D2544 Onlay — metallic — four or more surfaces2, 3 . . . . . . . . . . . . . . . . . . . Optional D2610 Inlay — porcelain/ceramic — one surface2, 3 . . . . . . . . . . . . . . . . Optional D2620 Inlay — porcelain/ceramic — two surfaces2, 3 . . . . . . . . . . . . . . . Optional D2630 Inlay — porcelain/ceramic — three or more surfaces2, 3 . . . . . . . Optional D2642 Onlay — porcelain/ceramic — two surfaces2, 3 . . . . . . . . . . . . . . . Optional D2643 Onlay — porcelain/ceramic — three surfaces2, 3 . . . . . . . . . . . . . . Optional D2644 Onlay — porcelain/ceramic — four or more surfaces2, 3 . . . . . . . . Optional D2650 Inlay — resin-based composite — one surface2, 3 . . . . . . . . . . . . . . . . Optional D2651 Inlay — resin-based composite — two surfaces2, 3 . . . . . . . . . . . . . . . Optional D2652 Inlay — resin-based composite — three or more surfaces2, 3 . . . . . . . Optional D2662 Onlay — resin-based composite — two surfaces2, 3 . . . . . . . . . . . . . . . Optional D2663 Onlay — resin-based composite — three surfaces2, 3 . . . . . . . . . . . . . . Optional D2664 Onlay — resin-based composite — four or more surfaces2, 3 . . . . . . . . Optional D2710 Crown — resin-based composite (indirect)3, 4 . . . . . . . . . . . . . . . . . . 125.00 D2712 Crown — 3/4 resin-based composite (indirect)3, 4 . . . . . . . . . 125.00 D2720 Crown — resin with high noble metal3, 4, 5 . . . . . . . . . . . . . . . . . . . . 180.00 D2721 Crown — resin with predominantly base metal3, 4 . . . . . . . . . . . . . . . . 180.00 D2722 Crown — resin with noble metal3, 4 180.00 D2740 Crown — porcelain/ceramic substrate3, 4 275.00 D2750 Crown — porcelain fused to high noble metal3, 4, 5 . . . . . . . . . . . . . . . 275.00 D2751 Crown — porcelain fused to predominantly base metal3, 4 . . . . . . . . . . . . . . . . 275.00 D2752 Crown — porcelain fused to noble metal3, 4 . . . . . . . . . . . . . . . . . . . . 275.00 D2780 Crown — 3/4 cast high noble metal3, 5 250.00 D2781 Crown — 3/4 cast predominantly base metal3 . . . . . . . . . . . . . . . . . . 250.00 D2782 Crown — 3/4 cast noble metal3 . 250.00 D2790 Crown — full cast high noble metal3, 5 250.00

Code Description Enrollee Pays D2791 Crown — full cast predominantly base metal3 . . . . . . . . . . . . . . . . . . 250.00 D2792 Crown — full cast noble metal3 . 250.00 D2794 Crown — titanium3, 5 . . . . . . . . . . 275.00 D2910 Recement inlay, onlay, or partial coverage restoration . . . . . . . . . . . 20.00 D2915 Recement cast or prefabricated post and core . . . . . . . . . . . . . . . . . . . . 20.00 D2920 Recement crown . . . . . . . . . . . . . . 20.00 D2921 Reattachment of tooth fragment, incisal edge or cusp . . . . . . . . . . . . 80.00 D2929 Prefabricated porcelain/ceramic crown — primary tooth, anterior . . . . . . 60.00 D2930 Prefabricated stainless steel crown — primary tooth . . . . . . . . . . . . . . 60.00 D2931 Prefabricated stainless steel crown — permanent tooth . . . . . . . . . . . . . . 60.00 D2932 Prefabricated resin crown — anterior primary tooth . . . . . . . . . . . . . . . . 60.00 D2933 Prefabricated stainless steel crown with resin window — anterior primary tooth . . . . . . . . . . . . . . . . . . . . . . . 60.00 D2940 Protective restoration . . . . . . . . . . 15.00 D2941 Interim therapeutic restoration — primary dentition . . . . . . . . . . . . . . 15.00 D2949 Restorative foundation for an indirect restoration . . . . . . . . . . . . . . . . . . . 25.00 D2950 Core buildup, including any pins when required . . . . . . . . . . . . . . . . 25.00 D2951 Pin retention — per tooth, in addition to restoration . . . . . . . . . 25.00 D2952 Post and core in addition to crown, indirectly fabricated — includes canal preparation5 . . . . . . . . . . . . 90.00 D2953 Each additional indirectly fabricated post — same tooth — includes canal preparation5 . . . . . . . . . . . . 90.00 D2954 Prefabricated post and core in addition to crown — base metal post; includes canal preparation . . . . . . . . . . . . . 50.00 D2957 Each additional prefabricated post — same tooth — base metal post; includes canal preparation . . . . . . . . . . . . . . . . 50.00 D2970 Temporary crown (fractured tooth) — palliative treatment only . . . . . . . No Cost D2980 Crown repair necessitated by restorative material failure . . . . . 45.00 D2981 Inlay repair necessitated by restorative material failure . . . . . . . . . . . . . . . 45.00 D2982 Onlay repair necessitated by restorative material failure . . . . . . . . . . . . . . . 45.00 D2990 Resin infiltration of incipient smooth surface lesions limited to permanent molars through age 15 . . . . . . . . . 15.00

D3000 – D3999 ENDODONTICS D3110 Pulp cap — direct (excluding final restoration) . . . . . . . . . . . . . . . . . . 12.00 D3120 Pulp cap — indirect (excluding final restoration) . . . . . . . . . . . . . . . . . . 12.00 D3220 Therapeutic pulpotomy (excluding final restoration) — removal of pulp coronal to the dentinocemental junction and application of medicament . . 45.00

Code Description Enrollee Pays

Code Description Enrollee Pays

D3221 Pulpal debridement, primary and permanent teeth . . . . . . . . . . . . . . 45.00 D3222 Partial pulpotomy for apexogenesis — permanent tooth with incomplete root development . . . . . . . . . . . . . . . . . 45.00 D3230 Pulpal therapy (resorbable filling) — anterior, primary tooth (excluding final restoration) . . . . . . . . . . . . . . . . . . 45.00 D3240 Pulpal therapy (resorbable filling) — posterior, primary tooth (excluding final restoration) . . . . . . . . . . . . . . . . . . 45.00 D3310 Endodontic therapy, anterior tooth (excluding final restoration)6 . . . . 150.00 D3320 Endodontic therapy, bicuspid tooth (excluding final restoration)6 . . . . 200.00 D3330 Endodontic therapy, molar tooth (excluding final restoration)6 . . . . 250.00 D3346 Retreatment of previous root canal therapy — anterior6 . . . . . . . . . . . 200.00 D3347 Retreatment of previous root canal therapy — bicuspid6 . . . . . . . . . . 250.00 D3348 Retreatment of previous root canal therapy — molar6 . . . . . . . . . . . . . 300.00 D3351  Apexification/recalcification — initial visit (apical closure/calcific repair of perforations, root resorption, pulp space disinfection, etc.) . . . . . . . . 40.00 D3410 Apicoectomy — anterior6 . . . . . . 200.00 D3421  Apicoectomy — bicuspid (first root)6 . . . . . . . . . . . . . . . . . . . 200.00 D3425 Apicoectomy — molar (first root)6 . . 200.00 D3426 Apicoectomy — (each additional root)6 . . . . . . . . . . . . . . 50.00 D3427 Periradicular surgery without apicoectomy . . . . . . . . . . . . . . . . . . 200.00 D3430 Retrograde filling — per root6 . . . 50.00 D3450 Root amputation — per root — not covered in conjunction with a hemisection6 . . . . . . . . . . . . . . . . . 50.00

D4341 D4342 D4355 D4910 D4921

D4000 — D4999 PERIODONTICS D4210 Gingivectomy or gingivoplasty — four or more contiguous teeth or tooth bounded spaces per quadrant . . . 200.00 D4211 Gingivectomy or gingivoplasty — one to three contiguous teeth or tooth bounded spaces per quadrant . . . 50.00 D4212 Gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth . . . . . . . . . . . . . . . . . . . . 50.00 D4240 Gingival flap procedure, including root planing — four or more contiguous teeth or tooth bounded spaces per quadrant . . . . . . . . . . . . . . . . . 250.00 D4241 Gingival flap procedure, including root planing — one to three contiguous teeth or tooth bounded spaces per quadrant 250.00 D4260 Osseous surgery (including flap entry and closure) — four or more contiguous teeth or tooth bounded spaces per quadrant . . . . . . . . . . . . . . . . . . . . 400.00 D4261 Osseous surgery (including flap entry and closure) — one to three contiguous teeth or tooth bounded spaces per quadrant . . . . . . . . . . . . . . . . 400.00

Periodontal scaling and root planing — four or more teeth per quadrant — limited to 5 quadrants during any 12 consecutive months . . . . . . . . . . . 50.00 Periodontal scaling and root planing — one to three teeth per quadrant — limited to 5 quadrants during any 12 consecutive months . . . . . . . . . . . 50.00 Full mouth debridement to enable comprehensive evaluation and diagnosis — limited to 1 treatment in any 12 consecutive months . . . . . 15.00 Periodontal maintenance — limited to 2 treatments each 12 month period 15.00 Gingival irrigation – per quadrant . No Cost

D5000 — D5899 PROSTHODONTICS (REMOVABLE) D5110 Complete denture — maxillary7, 8 . . 350.00 D5120 Complete denture — mandibular7, 8 350.00 D5130 Immediate denture — maxillary7, 8 . . 450.00 D5140 Immediate denture — mandibular7, 8 450.00 D5211 Maxillary partial denture — resin base (including any conventional clasps, rests and teeth)7, 8 . . . . . . . . . . . . . . . 300.00 D5212 Mandibular partial denture — resin base (including any conventional clasps, rests and teeth)7, 8 . . . . . . . . . . . . . . 300.00 D5213 Maxillary partial denture — cast metal framework with resin denture bases (including any conventional clasps, rests and teeth)7, 8 . . . . . . . . . . . . . 375.00 D5214 Mandibular partial denture — cast metal framework with resin denture bases (including any conventional clasps, rests and teeth)7, 8 . . . . . . 375.00 D5281 Removable unilateral partial denture — one piece cast metal (including clasps and teeth) . . . . . . . . . . . . . . 150.00 D5410 Adjust complete denture — maxillary7 . . . . . . . . . . . . . . . . . . . 20.00 D5411 Adjust complete denture — mandibular7 . . . . . . . . . . . . . . . . . . 20.00 D5421 Adjust partial denture — maxillary7 . . . . . . . . . . . . . . . . . . . 20.00 D5422 Adjust partial denture — mandibular7 . . . . . . . . . . . . . . . . . . 20.00 D5510 Repair broken complete denture base . . . . . . . . . . . . . . . . . . . . . . . 45.00 D5520 Replace missing or broken teeth — complete denture (each tooth) . . . 15.00 D5610 Repair resin denture base . . . . . . 40.00 D5620 Repair cast framework . . . . . . . . . 60.00 D5630 Repair or replace broken clasp . . 20.00 D5640 Replace broken teeth — per tooth . 15.00 D5650 Add tooth to existing partial denture 15.00 D5660 Add clasp to existing partial denture 20.00 D5710 Rebase complete maxillary denture9 150.00 D5711 Rebase complete mandibular denture9 150.00 D5720 Rebase maxillary partial denture9 150.00 D5721 Rebase mandibular partial denture9 150.00 D5730 Reline complete maxillary denture (chairside)9 . . . . . . . . . . . . . . . . . . 40.00 D5731 Reline complete mandibular denture (chairside)9 . . . . . . . . . . . . . . . . . . 40.00

12

Code Description Enrollee Pays D5740 Reline maxillary partial denture (chairside)9 . . . . . . . . . . . . . . . . . . 40.00 D5000 — D5899 PROSTHODONTICS (REMOVABLE) D5741 Reline mandibular partial denture (chairside)9 . . . . . . . . . . . . . . . . . . 40.00 D5750 Reline complete maxillary denture (laboratory)9 . . . . . . . . . . . . . . . . . 150.00 D5751 Reline complete mandibular denture (laboratory)9 . . . . . . . . . . . . . . . . . 150.00 D5760 Reline maxillary partial denture (laboratory)9 . . . . . . . . . . . . . . . . . 150.00 D5761 Reline mandibular partial denture (laboratory)9 . . . . . . . . . . . . . . . . . 150.00 D5820 Interim partial denture (maxillary) — limited to initial placement of interim partial denture/stayplate to replace extracted anterior teeth during healing7 . . . . . . . . . . . . . . . 180.00 D5821 Interim partial denture (mandibular) — limited to initial placement of interim partial denture/stayplate to replace extracted anterior teeth during healing7 . . . . . . . . . . . . . . . . . . . . . 180.00 D5850 Tissue conditioning — maxillary7, 9 . 30.00 D5851 Tissue conditioning — mandibular7, 9 30.00

12.a

D6200 – D6999 PROSTHODONTICS, FIXED Each retainer and each pontic constitutes a unit in a fixed partial denture D6210 Pontic — cast high noble metal5,10 . . 240.00 D6211 Pontic — cast predominantly base metal10 . . . . . . . . . . . . . . . . . 240.00 D6212 Pontic — cast noble metal10 . . . . 240.00 D6240 Pontic — porcelain fused to high noble metal4, 5, 10 . . . . . . . . . . 275.00 D6241 Pontic — porcelain fused to predominantly base metal4, 10 . . . . 275.00 D6242 Pontic — porcelain fused to noble metal4, 10 . . . . . . . . . . . . . . . . . . . . 275.00 D6250 Pontic — resin with high noble metal4, 5, 10 . . . . . . . . . . . . . . . . . . . 180.00 D6251 Pontic — resin with predominantly base metal4, 10 . . . . . . . . . . . . . . . . 180.00 D6252 Pontic — resin with noble metal4, 10 180.00 D6545 Retainer — cast metal for resin bonded fixed prosthesis4, 10 . . . . . . 150.00 D6600 Inlay — porcelain/ceramic, two surfaces2, 10 . . . . . . . . . . . . . . Optional D6601 Inlay — porcelain/ceramic, three or more surfaces2, 10 . . . . . . . . . . . . . Optional D6602 Inlay — cast high noble metal, two surfaces2, 10 . . . . . . . . . . . . . . . . . . Optional D6603 Inlay — cast high noble metal, three or more surfaces2, 10 . . . . . . . . . . . Optional D6604 Inlay — cast predominantly base metal, two surfaces2, 10 . . . . . . . . . Optional D6605 Inlay — cast predominantly base metal, three or more surfaces2, 10 . . . Optional D6606 Inlay — cast noble metal, two surfaces2, 10 . . . . . . . . . . . . . . . . . . Optional D6607 Inlay — cast noble metal, three or more surfaces2, 10 . . . . . . . . . . . . . Optional D6608 Onlay — porcelain/ceramic, two surfaces2, 10 . . . . . . . . . . . . . . Optional

Code Description Enrollee Pays D6609 Onlay — porcelain/ceramic, three or more surfaces2, 10 . . . . . . . . . . . . . Optional D6610 Onlay — cast high noble metal, two surfaces2, 10 . . . . . . . . . . . . . . Optional D6611 Onlay — cast high noble metal, three or more surfaces2, 10 . . . . . . Optional D6612 Onlay — cast predominantly base metal, two surfaces2, 10 . . . . . . . . . Optional D6613 Onlay — cast predominantly base metal, three or more surfaces2, 10 . . . Optional D6614 Onlay — cast noble metal, two surfaces2, 10 . . . . . . . . . . . . . . Optional D6615 Onlay — cast noble metal, three or more surfaces2, 10 . . . . . . Optional D6720 Crown — resin with high noble metal4, 5, 10 . . . . . . . . . . . . . . . . . . . 180.00 D6721 Crown — resin with predominantly base metal4, 10 . . . . . . . . . . . . . . . . 180.00 D6722 Crown — resin with noble metal4, 10 180.00 D6740 Crown — porcelain/ceramic2, 10 . . Optional D6750 Crown — porcelain fused to high noble metal4, 5, 10 . . . . . . . . . . . . . . 275.00 D6751 Crown — porcelain fused to predominantly base metal4, 10 . . . . 275.00 D6752 Crown — porcelain fused to noble metal4, 10 . . . . . . . . . . . . . . . . . . . . 275.00 D6780 Crown — 3/4 cast high noble metal5, 10 . . . . . . . . . . . . . . . . . . . . 240.00 D6781 Crown — 3/4 cast predominantly base metal10 . . . . . . . . . . . . . . . . . 240.00 D6782 Crown — 3/4 cast noble metal10 . 240.00 D6790 Crown — full cast high noble metal5, 10 . . . . . . . . . . . . . . . . . . . . 240.00 D6791 Crown — full cast predominantly base metal10 . . . . . . . . . . . . . . . . . 240.00 D6792 Crown — full cast noble metal10 . 240.00 D6930 Recement fixed partial denture . . 45.00 D6940 Stress breaker10 . . . . . . . . . . . . . . 60.00 D6980 Fixed partial denture repair necessitated by restorative material failure . . . . . . . . . . . . . . . 45.00

D7000 — D7999 ORAL AND MAXILLOFACIAL SURGERY D7111 Extraction, coronal remnants — deciduous tooth . . . . . . . . . . . . . . 35.00 D7140 Extraction, erupted tooth or exposed root (elevation and/or forceps removal) . . . . . . . . . . . . . . . . . . . . 35.00 D7210 Surgical removal of erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated . . . . . . . . . . . . . . . . . . 45.00 D7220 Removal of impacted tooth — soft tissue . . . . . . . . . . . . . . . . . . . 75.00 D7230 Removal of impacted tooth — partially bony . . . . . . . . . . . . . . . . 100.00 D7240 Removal of impacted tooth — completely bony . . . . . . . . . . . . . . 150.00 D7250 Surgical removal of residual tooth roots (cutting procedure) . . . . . . . 100.00 D7251 Coronectomy – intentional partial tooth removal . . . . . . . . . . . . . . . . 150.00

Code Description Enrollee Pays D7286 Biopsy of oral tissue — soft — does not include histopathologic examination or other pathology laboratory procedures . . . . . . . . . . 10.00 D7310 Alveoloplasty in conjunction with extractions— per quadrant . . . . . 50.00 D7311 Alveoloplasty in conjunction with extractions — one to three teeth or tooth spaces, per quadrant . . . . . . . . . . . . 50.00 D7320 Alveoloplasty not in conjunction with extractions — per quadrant . . . . . 75.00 D7321 Alveoloplasty not in conjunction with extractions — one to three teeth or tooth spaces, per quadrant . . . . . 75.00 D7471 Removal of lateral exostosis (maxilla or mandible) — per site . . . . . . . . . . 50.00 D7510 Incision and drainage of abscess — intraoral soft tissue . . . . . . . . . . . 50.00 D7960 Frenulectomy — also known as frenectomy or frenotomy — separate procedure not incidental to another procedure . . . . . . . . . . . . . . . . . . . 25.00

D8000 — D8999 ORTHODONTICS D8070 Comprehensive orthodontic treatment of the transitional dentition — child or adolescent to age 1911 . . . . . . . . . . . . . . . . . . 1,600.00 D8080 Comprehensive orthodontic treatment of the adolescent dentition — child or adolescent to age 1911 . . 1,600.00 D8090 Comprehensive orthodontic treatment of the adult dentition — adults, including dependent children age 19 and older11 . . . . . . . . . . . . . . . . . . 1,800.00 D8660 Pre-orthodontic treatment visit — not to be charged with any other consultation procedures12 . . . . . . . . No Cost D8680 Orthodontic retention (removal of appliances, construction and placement of retainers)13 . . . . . . . . No Cost D8999 Unspecified orthodontic procedure, by report — includes the START-UP FEE, which includes initial examination, diagnosis, consultation and initial banding . . . . . . . . . . . . . . . . . . . . . 350.00

Code Description Enrollee Pays

D9000 — D9999 ADJUNCTIVE GENERAL SERVICES D9110 Palliative (emergency) treatment of dental pain-minor procedure . . . . 35.00 D9211 Regional block anesthesia . . . . . . No Cost D9212 Trigeminal division block anesthesia No Cost D9310 Consultation — diagnostic service provided by dentist or physician (specialist only) . . . . . . . . . . . . . . . No Cost D9430 Office visit for observation (during regularly scheduled hours) — no other services performed . . . . . . . . . . . . . No Cost D9440 Office visit — after regularly scheduled hours . . . . . . . . . . . . . . 50.00 Procedures not listed above are not covered; however, may be available at the Contract Dentist’s “filed fees.” “Filed fees” means the Contract Dentist’s fees on file with Delta Dental. Questions regarding these fees should be directed to Delta Dental’s Customer Service department at 800-422-4234. The above CDT 2014 codes and nomenclature are copyright of the American Dental Association. Note: This Schedule represents codes and nomenclature excerpted from the version of Current Dental Terminology (CDT) in effect on the date that this Contract or Amendment was issued. CDT coding and nomenclature are the copyright of the American Dental Association, and have been accepted as the standard for data transmission purposes under federal Administrative Simplification regulations. For the purposes of this Schedule, Delta Dental’s administration of Benefits, Limitations and Exclusions under this Contract will at all times be based on the current version of CDT whether or not a revised Appendix B is provided. Notes in italic type have been added by Delta Dental for clarification.

12.b

FOOTNOTES 1 An amalgam is the benefit. 2 Optional is defined as any alternative procedure presented by the Contract Dentist that satisfies the same dental need as a covered procedure, is chosen by the Enrollee, and is subject to the Limitations and Exclusions of the program. The applicable charge to the Enrollee is the difference between the Contract Dentist’s “filed fee” for the Optional procedure and the “filed fee” for the covered procedure, plus any applicable Copayment. “Filed fees” means the Contract Dentist’s fees on file with Delta Dental. Questions regarding the DeltaCare USA program should be directed to Delta Dental’s Customer Service department at 800-422-4234. 3 Replacement is subject to a limitation requiring the existing restoration to be 5+ years old. 4 Porcelain and other tooth-colored materials on molars are considered a material upgrade with a maximum additional charge to the Enrollee of $150.00. 5 Base or noble metal is the benefit. High noble metal (precious), if used, will be charged to the Enrollee at the additional maximum cost to the Enrollee of $100.00 per tooth. If an indirectly fabricated post and core is made of high noble metal, an additional fee up to $100.00 per tooth will be charged for the upgrade. This charge also applies to a titanium crown. 6 A benefit for permanent teeth only. 7 Includes after delivery adjustments and tissue conditioning, if needed, for the first six months after placement, if the Enrollee continues to be eligible and the service is provided at the Contract Dentist’s facility where the denture was originally delivered. 8 Replacement is subject to a limitation requiring the existing denture to be 5+ years old. 9 Limited to 1 per denture during any 12 consecutive months. 10 Replacement is subject to a limitation requiring the existing bridge to be 5+ years old. 11 Listed Copayment covers up to 24 months of active orthodontic treatment excluding the services listed for D8999 (Start-up fee). Beyond 24 months of active treatment, an additional monthly fee of $75.00 applies. 12 In the event comprehensive orthodontic treatment is not required or is declined by the Enrollee, a fee of $25.00 will apply. The Enrollee is also responsible for any incurred orthodontic diagnostic record fees. 13 Includes adjustments and/or office visits up to 24 months. After 24 months, a monthly fee of $75.00 applies.

SCHEDULE B LIMITATIONS Of BENEFITS 1. Full mouth x-rays are limited to one set every 24 consecutive months and include any combination of periapicals, bitewings and/or panoramic film. 2. Bitewing x-rays are limited to not more than one series of four films in any six month period. 3. Diagnostic casts are limited to aid in diagnosis by the Contract Dentist for covered benefits. 4. If a biopsy is preauthorized by Delta Dental for an oral surgeon, then examination of the resulting biopsy specimen is covered under codes D0472, D0473 or D0474 and available at no additional cost. 5. Prophylaxis or periodontal maintenance is limited to two procedures each 12 month period. 6. Benefits for sealants include the application of sealants only to permanent first and second molars with no decay, with no restorations and with the occlusal surface intact, for first molars and second molars through age 15. Benefits for sealants do not include the repair or replacement of a sealant on any tooth within three years of its application. 7. A filling is a benefit for the removal of decay, for minor repairs of tooth structure or to replace a lost filling. 8. A crown is a benefit when there is insufficient tooth structure to support a filling or to replace an existing crown that is non-functional or nonrestorable and meets the five year limitation (see Limitation #12). 9. A covered metallic inlay, onlay, crown or fixed partial denture (bridge) using base or noble metal is available for listed Copayment(s). If the Enrollee elects to have high noble metal used instead, the maximum additional cost of this material upgrade is $100.00 per tooth or pontic. For an indirectly fabricated post and core, the benefit is for base or noble metal. If the Enrollee elects to have a high noble metal indirectly fabricated post and core instead, the maximum additional cost of this material upgrade is $100.00 per tooth. 10. For molars, a covered crown or unit of a fixed partial denture (bridge) is a full cast metal restoration without porcelain or other toothcolored material. If the Enrollee elects to have porcelain, porcelain-fused-to-metal, resin or resin-with-metal used instead, the maximum additional cost for this tooth-colored material upgrade is $150.00 per molar. 11. If a porcelain margin is also chosen by the Enrollee for a covered porcelain-fused-to-metal crown, the maximum additional cost for this laboratory upgrade is $75.00. 12. The replacement of an existing inlay, onlay, crown, fixed partial denture (bridge) or a removable full or partial denture is covered when: (continued)

13



a. The existing restoration/bridge/denture is no longer functional and cannot be made functional by repair or adjustment, and



b. Either of the following:



b. — The existing non-functional restoration/ bridge/denture was placed five or more years prior to its replacement, or



b. — If an existing partial denture is less than five years old, but must be replaced by a new partial denture due to the loss of a natural tooth, which cannot be replaced by adding another tooth to the existing partial denture.

13. A direct or indirect pulp cap is a benefit only on a vital permanent tooth with an open apex or a vital primary tooth. 14. With the exception of pulp caps and pulpotomies, endodontic procedures (e.g. root canal therapy, apicoectomy, retrofill, etc.) are only a benefit on a permanent tooth. 15. A therapeutic pulpotomy on a permanent tooth is limited to palliative treatment when the Contract Dentist is not performing root canal therapy. 16. Periodontal scaling and root planing are limited to five quadrants during any 12 month period. 17. Full mouth debridement (gross scale) is limited to one treatment in any 12 month period. 18. The benefit for the replacement of a missing posterior tooth (or teeth) is a removable partial denture. Coverage for the placement of a fixed partial denture (bridge) is optional except in the following cases

— T he sole tooth to be replaced in the arch is a permanent anterior tooth, provided it is not in connection with a partial denture on the same arch; or



— T he new bridge would replace an existing, nonfunctional bridge utilizing the same abutment teeth, with no additional abutments or pontics with the exception of posterior cantilever bridges (see Limitation #12); or



— T he abutment teeth are not being crowned solely for the purpose of supporting a pontic (each abutment tooth to be crowned must meet Limitation #8).

19. Relines, tissue conditioning and rebases are limited to one per denture during any 12 consecutive months. 20. Interim partial dentures (stayplates), in conjunction with fixed or removable appliances, are limited to:

14



— T he replacement of extracted anterior teeth for adults during a healing period when the teeth cannot be added to an existing partial denture or



— The replacement of permanent tooth/teeth for children under 16 years of age.

21. Retained primary teeth shall be covered as primary teeth.

22. Excision of the frenum is a benefit only when it results in limited mobility of the tongue, it causes a large diastema between teeth or it interferes with a prosthetic appliance. 23. Benefits provided by a pediatric Dentist are limited to children through age seven following an attempt by the assigned Contract Dentist to treat the child and upon prior authorization by Delta Dental, less applicable Copayments. Exceptions for medical conditions, regardless of age limitation, will be considered on an individual basis. 24. In cases of accidental injury, benefits available are described in Schedule B, Accident Injury Benefit. Damages to the hard and soft tissues of the oral cavity from normal masticatory (chewing) function, exclusive attrition and normal wear, will be covered as described in Schedules A, Description of Benefits and Copayments; and B, Limitations and Exclusions of Benefits. 25. Soft tissue management programs include, but are not limited to, periodontal pocket charting, root planing, scaling, curettage, oral hygiene instruction, gingival irrigation, periodontal maintenance and/or prophylaxis. If an Enrollee declines non-covered services within a soft tissue management program, it does not eliminate or alter the benefit for covered services. 26. A new removable partial, complete or immediate denture includes after delivery adjustments and tissue conditioning at no additional cost for the first six months after placement if the Enrollee continues to be eligible and the service is provided at the Contract Dentist’s facility where the denture was originally delivered. 27. An Optional procedure is defined as any alternative procedure presented by the Contract Dentist that satisfies the same dental need as a covered procedure, is chosen by the Enrollee, and is subject to the limitations and exclusions of the program. The applicable charge to the Enrollee is the difference between the Contract Dentist’s “filed fees” for the Optional procedure and the “filed fees” for the covered procedure, plus any applicable Copayment for the covered procedure. Optional treatment does not apply when alternative choices are benefits. Optional procedures include:

— The use of a tooth-colored material when restoring a posterior tooth with a filling, inlay or onlay; and



— Units in a fixed partial denture (bridge) made of porcelain/ ceramic, which is not fused to and supported by underlying cast metal.

28. Porcelain crowns, porcelain fused to metal or resin with metal type crowns are not a benefit for children under 16 years of age. An allowance will be made for a resin crown. (See Limitation #27). “Filed fees” means the Contract Dentist’s fees on file with Delta Dental. Questions regarding these fees should be directed to Delta Dental’s Customer Service department at 800-422-4234.

EXCLUSIONS Of BENEFITS 1. Any procedure that is not specifically listed under Schedule A, Description of Benefits and Copayments. 2. Dental conditions arising out of and due to Enrollee’s employment for which Workers’ Compensation is paid. Services which are provided to the Enrollee by state government or agency thereof, or are provided without cost to the Enrollee by any municipality, county or other subdivision, except as provided in Section 1373(a) of the California Health and Safety Code. 3. All related fees for admission, use, or stays in a hospital, out-patient surgery center, extended care facility, or other similar care facility. 4. Loss or theft of full or partial dentures, space maintainers, crowns and fixed partial dentures (bridges). 5. Dental expenses incurred in connection with any dental procedures started after termination of eligibility for coverage. 6. Dental expenses incurred in connection with any dental procedure started before the Enrollee’s eligibility with the DeltaCare USA program. Examples include: teeth prepared for crowns, root canals in progress, orthodontics. 7. Congenital malformations (e.g. congenitally missing teeth, supernumerary teeth, enamel and dentinal dysplasias, etc.), except for the treatment of newborn children with congenital defects or birth abnormalities. 8. Dispensing of drugs not normally utilized in the delivery of dental services. 9. Any procedure that in the professional opinion of the Contract Dentist:

a. h as poor prognosis for a successful result and reasonable longevity based on the condition of the tooth or teeth and/ or surrounding structures, or



b. is inconsistent with generally accepted standards for dentistry.

13. Fixed partial dentures (bridges) for children under 16 years of age. 14. Restorations placed solely due to cosmetics, abrasions, attrition, erosion, restoring or altering vertical dimension, congenital or developmental malformation of teeth. 15. Appliances or restorations necessary to increase vertical dimension, replace or stabilize tooth structure loss by attrition, realignment of teeth, periodontal splinting, gnathologic recordings, equilibration or treatment of disturbances of the temporomandibular joint (TMJ). 16. An initial treatment plan which involves the removal and reestablishment of the occlusal contacts of 10 or more teeth with crowns, onlays, fixed partial dentures (bridges), or any combination of these is considered to be full mouth reconstruction under the DeltaCare USA program. Crowns, onlays and fixed partial dentures associated with such a treatment plan are not covered Benefits. This exclusion does not eliminate the benefit for other covered services. 17. Precious metal for removable appliances, metallic or permanent soft bases for complete dentures, porcelain denture teeth, precision abutments for removable partials or fixed partial dentures (overlays, implants, and appliances associated therewith) and personalization and characterization of complete and partial dentures. 18. Extraction of teeth, when teeth are asymptomatic/ non-pathologic (no signs or symptoms of pathology or infection), including but not limited to the removal of third molars and orthodontic extractions. 19. Treatment or extraction of primary teeth when exfoliation (normal shedding and loss) is imminent.

10. Dental services received from any dental facility other than the assigned Contract Dentist including the services of a dental specialist, unless expressly authorized in writing by Delta Dental or as cited under Emergency Services. To obtain written authorization, the Enrollee should call Delta Dental’s Customer Service department at 800-422-4234. 11. Consultations for non-covered benefits. 12. Implant placement or removal, appliances placed on or services associated with implants, including but not limited to prophylaxis and periodontal treatment.

15

ORTHODONTIC LIMITATIONS The DeltaCare USA program provides coverage for orthodontic treatment plans provided through Contract Orthodontists. The start-up fees and the cost to the Enrollee for the treatment plan are listed in Schedule A, Description of Benefits and Copayments and subject to the following: 1. Orthodontic treatment must be provided by a Contract Orthodontist. 2. Benefits cover 24 months of active comprehensive orthodontic treatment. Included is the initial examination, diagnosis, consultation, initial banding, 24 months of active treatment, de-banding and the retention phase of treatment. The retention phase includes the initial construction, placement and adjustment to retainers and office visits for a maximum of two years. 3. Treatment plans extending beyond 24 months of active treatment, or 24 months of the retention phase of treatment will be subject to a monthly office visit fee to the Enrollee not to exceed $75.00 per month. 4. Should an Enrollee’s coverage be cancelled or terminated for any reason, and at the time of cancellation or termination be receiving any orthodontic treatment, the Enrollee and not Delta Dental will be responsible for payment of any balance due for treatment provided after cancellation or termination. In such a case the Enrollee’s payment shall be based on a maximum of $2,300.00 for covered dependent children to age 19 and $2,500.00 for covered adults and dependent adult children age 19 and older. The amount will be prorated over the number of months to completion of the treatment and, will be payable by the Enrollee on such terms and conditions as are arranged between the Enrollee and the Contract Orthodontist. 5. If treatment is not required or the Enrollee chooses not to start treatment after the diagnosis and consultation has been completed by the Contract Orthodontist, the Enrollee will be charged a consultation fee of $25.00 in addition to diagnostic record fees. 6. Three recementations or replacements of a bracket/band on the same tooth or a total of five rebracketings/rebandings on different teeth during the covered course of treatment are benefits. If any additional recementations or replacements of brackets/bands are performed, the Enrollee is responsible for the cost at the Contract Orthodontist’s “filed fees.”

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7. Comprehensive orthodontic treatment (Phase II) consists of repositioning all or nearly all of the permanent teeth in an effort to make the Enrollee’s occlusion as ideal as possible. This treatment usually requires complete fixed appliances; however, when the Contract Orthodontist deems it suitable, a European or removable appliance therapy may be substituted at the same Copayment amounts as for fixed appliances. 8. Orthodontic treatment in progress is limited to new DeltaCare USA Enrollees who, at the time of their original effective date, are in active treatment started under their previous employer sponsored dental plan, as long as they continue to be eligible under the DeltaCare USA program. Active treatment means tooth movement has begun. Enrollees are responsible for all Copayments and fees subject to the provisions of their prior dental plan. Delta Dental is financially responsible only for amounts unpaid by the prior dental plan for qualifying orthodontic cases. “Filed fees” means the Contract Orthodontist’s fees on file with Delta Dental. Questions regarding these fees should be directed to Delta Dental’s Customer Service department at 800-422-4234.

ORTHODONTIC EXCLUSIONS

ACCIDENT INJURY BENEFIT

1. Pre-, mid- and post-treatment records which include cephalometric x-rays, tracings, photographs and study models.

An accidental injury is damage to the hard and soft tissue of the mouth caused directly and independently of all other causes by external forces. Damage to the hard and soft tissue of the mouth from normal chewing function is covered under Schedule A, Description of Benefits and Copayments.

2. Lost, stolen or broken orthodontic appliances. 3. Retreatment of orthodontic cases. 4. Changes in treatment necessitated by accident of any kind, and/or lack of Enrollee cooperation. 5. Surgical procedures incidental to orthodontic treatment. 6. Myofunctional therapy. 7. Surgical procedures related to cleft palate, micrognathia or macrognathia. 8. Treatment related to temporomandibular joint disturbances. 9. Supplemental appliances not routinely used in typical comprehensive orthodontics. 10. Restorative work caused by orthodontic treatment. 11. Phase I orthodontics, as well as activator appliances and minor treatment for tooth guidance and/or arch expansion. Phase I orthodontics is defined as early treatment including interceptive orthodontia prior to the development of late mixed dentition. 12. Extractions solely for the purpose of orthodontics. 13. Transfer after banding has been initiated. 14. Composite bands, lingual adaptation of orthodontic bands and other specialized or cosmetic alternatives to standard fixed and removable orthodontic appliances.

Delta Dental will pay up to 100 percent of the Contract Dentist’s “filed fees,” for expenses an Enrollee incurs for an accident injury, less any applicable Copayment(s), up to a Maximum of $1,600.00 in any 12 month period. Accident injury benefits include the following procedure in addition to those listed in Schedule A, Description of Benefits and Copayments. CODE D7270 T ooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth and/ or alveolus — includes splinting and/or stabilization. Payment of accident injury benefits is subject to Schedule B, Limitations and Exclusions of Benefits, in addition to the following provisions: MAXIMUM Accident injury benefits will be provided for each Enrollee up to a maximum of $1,600.00 in any 12 month period. LIMITATION Accident injury benefits are limited to services provided as a result of an accident which occurred (a) while the Enrollee was covered under the DeltaCare USA program, or (b) while the Enrollee was covered under another DeltaCare USA program, and if the benefits for the expenses incurred would have been paid if the Enrollee had remained covered under that program. EXCLUSIONS In addition to Schedule B, limitations #13, #15, #20, #21, #24 and #28 and exclusions #1-9, #11-15, #18 and #19, the following exclusions apply: 1. Prophylaxis. 2. Extra-oral grafts (grafting of tissues from outside the mouth to oral tissue). 3. Replacement of existing restorations due to decay. 4. Orthodontic services (treatment of malalignment of teeth and/or jaws). 5. Replacement of existing restorations, crowns, bridges, dentures and other dental or orthodontic appliances damaged by accident injury. “Filed fees” means the Contract Dentist’s fees on file with Delta Dental. Questions regarding these fees should be directed to Delta Dental’s Customer Service department at 800-422-4234.

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n How to enroll in DeltaCare USA Complete the enrollment form on page 19. If you are already a Kaiser Permanente member, please include a copy of your Kaiser Permanente ID card. If you are not yet a Kaiser Permanente member, please include a copy of your Medical Enrollment Form (Form SF 2809). You must be a Federal member of Kaiser Permanente to enroll. Please select one of the following payment methods on the attached enrollment form. The two payment methods are explained below.

n Monthly payment via automatic deduction 1) Complete and sign the Automatic Payment Authorization section on the enrollment form. Be sure to enclose a voided blank check from this account. Also, please call your bank to obtain the ABA number (bank routing number). 2) Your Monthly Dues will be deducted from the account specified on the 15th of each month prior to the coverage month (e.g., April dues will be deducted on March 15th). Your coverage will automatically be terminated if your automatic deduction is declined by your bank for insufficient funds, a closed account, etc. 3) Return the enrollment materials by December 21, 2013 if you are enrolling during the open enrollment period to:

Kaiser Permanente Federal Employees Dental Program Delta Dental 17871 Park Plaza Drive, Suite 200 Cerritos, CA 90703

n Quarterly payment via check 1) Submit the first quarterly payment with your enrollment form. Once enrolled, you will be billed quarterly (i.e., every three months) thereafter. Dues must be paid in full by the 15th of the month prior to the coverage month or your coverage will be automatically terminated. You cannot have a break in coverage. 2) Return the enrollment form and the first quarterly payment (see quarterly rates on the enrollment form) by December 21, 2013 if you are enrolling during the open enrollment period to:

Kaiser Permanente Federal Employees Dental Program Delta Dental Dept. #0170 Los Angeles, CA 90084-0170

Note: If you are a new federal employee or enrolling outside of the open enrollment period, the enrollment information must be received at the latest by the 15th of the month for coverage to begin the 1st of the following month. Incomplete/inaccurate information will cause a delay in your enrollment into the program.

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ENROLLMENT FORM

Kaiser Permanente Federal Employees Dental Program Delta Dental Dept. #0170 Los Angeles, CA 90084-0170 Enrollment Form: Kaiser Permanente Federal Member Dental Program

DeltaCare USA

+ This is a dental HMO program. You and your family must receive all treatment from the DeltaCare USA dental office you select. Please indicate the number of the DeltaCare USA office you have chosen: #_____________________________ If you do not select an office, we will select one for you. Rates for Calendar Year 2014: Enrollment type Monthly (automatic Quarterly Monthly deduction) (payment by check)

One person

$

12.83

$

38.49

Two persons

$

21.48

$

64.44

Three persons or more

$

32.56

$

97.68

PLEASE PRINT Your full name

Social Security Number or 10-digit Kaiser Permanente Medical Record Number

Mailing address

City



State



ZIP

Phone number ( ) — Date of birth / /  Male  Female Type of Enrollment  One person  Two persons  Three or more persons Marital status:  Single  Married Please list eligible dependents to be covered in addition to yourself: Spouse



 Male

 Female

Date of birth

/ /

Child



 Male

 Female

Date of birth

/ /

Child



 Male

 Female

Date of birth

/ /

Child



 Male

 Female

Date of birth

/ /

Child



 Male

 Female

Date of birth

/ /

Child



 Male

 Female

Date of birth

/ /

Payment Option  Monthly (Automatic)  Quarterly (Payment by check) Automatic payment authorization I (we) hereby authorize Delta Dental to charge the applicable Monthly Dues for dental coverage to my account designated below. I understand that coverage will only become and remain effective if there are sufficient funds at the time of the deduction. I understand eligibility begins the first of the month following my initial deduction. This authority to deduct funds from my account is to remain in full force and effect until I notify Delta Dental in writing 30 Days prior to termination. I also understand there cannot be any lapse of coverage in a 12-month period from the time of my enrollment. I agree to comply with the terms as outlined in the Combined Evidence of Coverage and Disclosure Form. (My bank is authorized to make corrections if any should be necessary.)  Checking Account  Savings Account (Please enclose a voided check or preprinted deposit slip from the account checked.) Bank or savings and loan name Branch________________________________________________________ Branch telephone number ( ) – City, State ZIP code ____________________ ABA (bank routing #) Account number_______________________________________ (verify account information with your bank)

□□□□□□□□□

Signature of enrollee Signature of spouse Notice: Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information may be guilty of a felony of the third degree. (rev. 9/08)

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DeltaCare USA Participating Dental Offices Please indicate the number of the office you have selected on the DeltaCare USA enrollment form.

Foreign languages spoken in The dental offices are listed by code in ( ). Below is a key to the foreign language codes: EI – East Indian HU – Hungarian RO – Romanian AF – Afrikaans FR – French IN – Indonesian RU – Russian AR – Arabic GE – German IT – Italian SP – Spanish/Español AM – Armenian GR – Greek JA – Japanese TA – Tagalog CA – Cantonese HE – Hebrew KO – Korean TH – Thai CH – Chinese HI – Hindi PE – Persian TR – Turkish CL – Creole HR – Croatian PL – Polish VI – Vietnamese CS – Czech F/T – Number of full-time dentists P/T – Number of part-time dentists Additional dental offices will be added as required. If any office is closed to further enrollment, Delta Dental reserves the right to assign you another dental office as close to your home as possible. All members of your family must be treated at the same facility. LANGUAGE ASSISTANCE: Language capabilities are self‑reported by the individual dental facilities and not independently verified by Delta Dental. If an enrollee requires language assistance to enable communication in a dental setting, Delta Dental will arrange for professional services through a certified interpretation vendor at no cost to the enrollee. ATENCIÓN EN OTROS IDIOMAS: Las habilidades en idiomas son informadas por las instalaciones dentales individuales y no son verificadas independientemente por Delta Dental. Si un afiliado requiere ayuda en otro idioma para poder comunicarse durante la cita dental, Delta Dental coordinará los servicios profesionales mediante un proveedor certificado de interpretación sin costo para el afiliado. Please call 800-422-4234 for updates to this list or check our online Dentist Directory at: deltadentalins.com/deltacareusa.

Northern California Offices (Open) ALBANY BRIGHT NOW! DENTAL 2140 S SHORE CTR (510) 214-0253 F/T 1 P/T 5 ANTELOPE SHADAN JABALI, DDS 1113 GARFIELD AVE (510) 525-6100 F/T 1 (SP, PE)

SALAM GHANNAM, DDS #008248 2225 BUCHANAN RD STE A (925) 779-1112 P/T 1 (SP, AR)

#042191 U #164401

ANTIOCH WALERGA DENTAL #016236 8008 WALERGA RD STE 100 (916) 725-4530 F/T 3 P/T 2 (SP) U ALL SMILE DNTL CARE 5117 LONE TREE WAY (925) 777-9898 F/T 1 (CH, SP, VI, TA)

#022462 U

WESTERN DNTL SVS 2590 SYCAMORE DR (925) 776-1140 F/T 1 P/T 74 (SP) AUBURN WESTERN DNTL SVS 4518 LONE TREE WAY (925) 529-8300 F/T 5 P/T 31 (SP) AUBURN DNTL CARE 70 COLLEGE WAY (530) 889-2828 F/T 2 (SP)

#036321

#041082 U #195501 U

SIERRA FAMILY DENTAL #025710 1300 LINCOLN WAY STE D (530) 885-1931 F/T 1 (TA)

CROSSINGS DNTL CARE #135501 3379 DEER VALLEY RD (925) 706-0775 P/T 2 (TA, SP) U

BELMONT SIERRA SMILES DNTL GP #029835 2503 BELL RD (530) 823-3803 F/T 2 (SP) U

EAST BAY DENTAL #019985 5157 LONE TREE WAY (925) 777-1719 F/T 1 P/T 1 (CA, SP, 12, HI) U

BELMONT PL DNTL CARE #154501 390 EL CAMINO REAL STE D (650) 631-2893 F/T 2 (RU)

BERKELEY MARIA LOURDES YEO DDS #045495 2130 RALSTON AVE STE I-D (650) 591-4704 F/T 3 BERKELEY DENTAL 909 UNIVERSITY AVE (510) 665-6058 F/T 1 (HI, AR)

#035983

BERKELEY FAM DENTAL #042286 3000 COLBY ST STE 302 (510) 843-4450 P/T 1 (HI) U BERKELEY HILLS DNTL GP #028055 2320 WOOLSEY ST STE 312 (510) 848-8624 F/T 1 P/T 1 (CA, TR, TA, 12, VI, SP, PE, LO) U CAMPUS DNTL CARE 2136 UNIVERSITY AVE (510) 548-3368 F/T 1 (SP)

#040036

REFRESH DENTAL #037063 3031 TELEGRAPH AVE STE 136A (510) 845-2240 F/T 1 (CH, VI, 12, CA) U BRENTWOOD WESTERN DNTL SVS 115 BERKELEY SQ (510) 540-8400 F/T 2 P/T 70 (SP)

#036288

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

21

BRENTWOOD SMILES #041585 6660 LONE TREE WAY STE 7 (925) 513-8363 F/T 1 P/T 1 (SP) U

CITRUS DNTL 5899 SUNRISE BLVD (916) 967-7766 F/T 2 P/T 2

#011118

BURLINGAME VALORA LEGASPI, DDS #013865 2400 BALFOUR RD STE 301 (925) 240-5808 P/T 1 (SP) U

CITRUS HEIGHTS DNTL 6994 SUNRISE BLVD (916) 723-8900 F/T 1 P/T 1 (RU, SP)

#137501

EVERLAST PROF DNTL 7861 GREENBACK LN (916) 726-1819 F/T 1 (VI)

#007823

CAMPBELL MASHA MEKHTEYS, DDS #011568 1860 EL CAMINO REAL STE 315 (650) 692-0555 F/T 1 (RU) CARMICHAEL BRITE DENTAL #040128 281 E HAMILTON AVE STE 2 (408) 871-9734 F/T 1 (SP) ACCESS DENTAL 7141 FAIR OAKS BLVD (916) 488-9700 F/T 3 P/T 7 (SP, PE)

#012687

CARMICHAEL OAKS DNTL #030583 8329 FAIR OAKS BLVD STE D (916) 944-4739 P/T 1 (SP) CHICO SACRAMENTO DNTL GRP #016770 6611 COYLE AVE (916) 965-6250 P/T 1 (AM, RU, RO) ACCESS DENTAL #023833 1010 MANGROVE AVE # A B (530) 342-7500 F/T 4 P/T 5 (SP) U CHICO DNTL 955 EAST AVE (530) 893-5334 F/T 1 (TA)

#041931 U

LAKEVIEW DNTL OFFICE #007289 2571 CAL PARK DR STE 120 (530) 345-6888 F/T 1 (SP, 12) U SMILE MAKERS 2647 FOREST AVE (530) 879-1888 F/T 1 P/T 1 (12, SP)

#005531

WESTERN DNTL SVS 1016 SKYWAY (530) 781-1270 F/T 4 P/T 24 (SP)

#036352

CITRUS HEIGHTS WESTERN DNTL SVS #036359 2471 COHASSET RD STE 170 (530) 894-9040 F/T 7 P/T 23 (SP) AURA DNTL CARE #041173 6024 SAN JUAN AVE STE A (916) 729-5849 P/T 2 (HI) U

22

U

U

FIRST DENTAL #165301 6191 GREENBACK LN STE A (916) 723-5330 F/T 1 U MADISON SQ DNTL CARE #378601 6024 SAN JUAN AVE STE C (916) 728-2888 F/T 1 P/T 1 (CA, TA, 12, CH) U CLOVIS SMILECARE DNTL #013133 6406 ACD SUNRISE BLVD (916) 727-1880 F/T 5 P/T 11 U BRIGHT NOW! DENTAL #023187 1420 SHAW AVE STE 101 (559) 299-9008 F/T 2 P/T 9 (SP) CLOVIS GENTLE DENTAL #146501 3151 WILLOW AVE (559) 299-9556 F/T 2 (CH, VI, SP) U DNTL OF CLOVIS #008953 1330 SHAW AVE STE 103 (559) 325-6161 P/T 1 SMILECARE - CLOVIS 1010 SHAW AVE STE B (559) 323-1776 F/T 4 P/T 10 (SP) CONCORD WESTERN DNTL SVS 751 W SHAW AVE (559) 323-5500 F/T 1 P/T 32 (SP) CONCORD DNTL ARTS 2222 EAST ST STE 270 (925) 689-3500 P/T 1 (SP, PE)

#015431 U #036316

#022752 U

DNTL SPECIALTY GROUP #030033 1255 WILLOW PASS RD (925) 680-4444 F/T 1 (PE, SP, TA, VI) LESTER YAMASHITA, DDS #010383 2969 SALVIO ST (925) 685-5296 F/T 1 (SP, JA)

CUPERTINO WESTERN DNTL SVS 1821 CONCORD AVE (925) 825-8900 F/T 1 P/T 75 (SP)

#036323

DALY CITY I PRO DENTAL #026176 19705 STEVENS CREEK BLVD (408) 996-7987 F/T 1 (12, CH, SP) U BELLA LIM, DDS #026261 7455 EL CAMINO REAL STE C (650) 994-4561 F/T 1 CAMPUS HEIGHTS DNTL #015677 901 CAMPUS DR STE 304 (650) 756-1900 P/T 1 MARIA L Y YEO DDS 2055 GELLERT BLVD #4 (650) 754-1300 F/T 3

#045497

MARIVIC DDS INC #043355 343 GELLERT BLVD STE G (650) 731-0625 P/T 1 (TA, SP) MOUHANNAD #136201 MAJDALANI, DDS 320 WASHINGTON ST APT 105 (650) 994-1111 P/T 1 (CH, AR, TA, SP) DANVILLE RODOLFO VILLASIN, DMD #142601 341 WESTLAKE CTR STE 237 (650) 756-6211 F/T 1 (TA) U DUBLIN KAI MING CAI, DDS INC #043944 4018 BLACKHAWK PLAZA CIR (925) 736-9860 P/T 1 (CA) U LEIDA P STINE DDS INC #009032 7950 DUBLIN BLVD STE 101 (925) 828-9993 F/T 1 (TA, VI, AR) EL CERRITO RESTORE SMILES DENTAL #032852 6990 VILLAGE PKWY STE 210 (925) 556-9074 F/T 1 (HI, TA, SP) U ART DENTAL 10586 SAN PABLO AVE (510) 559-8598 P/T 1 (SP, VI, CH)

#029882 U

RODNEY KIM, DDS #085001 11100 SAN PABLO AVE STE 107 (510) 233-9022 F/T 1 U

EL DORADO HILLS SMILECARE DNTL #013123 WESTERN DNTL SVS #036291 1851 SUTTER ST 11299 SAN PABLO AVE STE A (925) 827-2798 (510) 231-0147 F/T 5 P/T 13 (SP) U P/T 67 (SP) U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

ELK GROVE GREEN VLY DNTL GRP #020322 & ORTHO 2205 FRANCISCO DR STE 150 (916) 934-0207 F/T 2 P/T 2 ADRIANE SCORTIA DNTL #035446 9727 ELK GRV FLORIN RD # 155 (916) 714-7771 P/T 1 (RO, RU) U

FAIR OAKS VICTORIA PL DNTL CNTR #002972 3144 BROADWAY STE C1 (707) 443-9374 F/T 1 (AR, JA) U HEALING IMPRE DTL GRP #2C3101 6600 MERCY CT STE 230 (916) 966-4628 F/T 2 P/T 1 (VI, AR, SP, RU) U

ALPHA DENTAL #016238 8239 LAGUNA BLVD STE 100 (916) 683-9080 P/T 1 (SP) U

FAIRFIELD RIVER CITY DNTL 8908 MADISON AVE (916) 536-5151 F/T 1 P/T 3 (AM, SP)

CASE DNTL #038827 8170 LAGUNA BLVD STE 300 (916) 683-2000 F/T 1 P/T 1 (PE) U

ACCESS DENTAL 1600 TRAVIS BLVD (707) 429-4000 F/T 5 P/T 15 (TA, SP)

COZY DENTAL 2370 MARITIME DR (916) 683-2272 F/T 2 P/T 3 (SP, RU)

#017469

DESIGN DENTAL #038208 5700 WHITELOCK PKWY STE 120 (916) 714-3344 F/T 1 P/T 1 (PT, SP) ELK GROVE DNTL #022838 9640 BRUCEVILLE RD STE 101 (916) 686-9030 F/T 1 P/T 3 (HI, SP) U ELK GROVE FMLY DTL #025678 8351 ELK GROVE BLVD STE 300 (916) 691-6997 P/T 1 (SP, VI, HI) U LAGUNA STAR FAM DNTL #044629 5105 LAGUNA BLVD STE 4 (916) 478-0222 F/T 1 (HI) LIBERTY FAMILY DENTAL #043019 9401 E STOCKTON BLVD STE 215 (916) 686-9627 P/T 1 (CA, CH) U SMILECARE-ELK GROVE #001159 9184 E STOCKTON BLVD (916) 686-1101 F/T 2 P/T 14 (SP) U EUREKA VP DNTL CARE #019253 9320 ELK GROVE BLVD STE 170 (916) 714-5422 P/T 1 (VI) U JAMES FOYE, DMD 2805 G ST (707) 443-6392 F/T 1

#024315

STEPHEN ANGELOFF, DDS #023692 3125 G ST (707) 445-4300 F/T 1 (SP)

#007282

#000070 U

DNTL HEALTH CARE #033685 1555 WEBSTER ST STE B (707) 435-1906 P/T 1 (TA) DR RICHARD RAMOS, DMD INC 3075 TRAVIS BLVD (707) 435-9004 F/T 1 (SP, TA)

SMILECARE-FOLSOM #001158 825 E BIDWELL ST STE 400 (916) 984-4591 F/T 6 P/T 13 (SP, RU) U WESTERN DNTL SVS 1016 RILEY ST STE 1 (916) 984-4127 F/T 4 P/T 63 (SP)

#036292

FOSTER CITY WHINGMING LEE DDS #042360 1671 CREEKSIDE DR STE 101 (916) 983-9909 P/T 1 (CA, 12) U FREMONT JING-JING QIAN, DDS #013159 1289 E HILLSDALE BLVD STE 3 (650) 572-8518 F/T 1 (CH)

#021421

AARISHA DNTL OFFICE #026038 43625 MISSION BLVD STE 105 (510) 656-7424 F/T 1 (SP, TA, HI)

U

ADVANCED SMILE DESIGN #026181 39560 STEVENSON PL STE 117 (510) 797-8100 F/T 1 (TA, HI) U

FOREVER SMILE DENTAL #041137 2401-A WATERMAN BLVD STE 8 (707) 435-1100 F/T 1 (CA, TA, SP) U JULIUS MOSLEY II, DDS #137401 2750 N TEXAS ST STE 340 (707) 421-2161 F/T 1 (TA, SP) U MARLON TAASAN DMD #038816 1545 N TEXAS ST STE 309 (707) 422-6651 F/T 1 (SP, TA) U SMILECARE-FAIRFIELD #001157 1955 W TEXAS ST (707) 428-5400 F/T 1 P/T 12 (SP, RU, HI, TA) U WESTERN DNTL SVS 2440 N TEXAS ST (707) 422-4600 F/T 4 P/T 81 (SP)

SMILE TIME DENTAL #027127 2260 E BIDWELL ST # 110 (916) 984-4224 F/T 3 P/T 2 (SP, TA, PE, RU) U

#036317

FOLSOM YU SMILE DENTAL #042817 4455 CENTRAL WAY STE A (707) 863-0777 P/T 1 (TA) U COSMETIC DNTL STUDIOS #023580 2700 E BIDWELL ST STE 300 (916) 984-5552 F/T 1 (TR, GE, PE) U GATEWAY DNTL #040940 2465 IRON POINT RD STE 120 (916) 984-9600 P/T 3 (SP) U

AMERICAN DNTL 39624 MISSION BLVD (510) 573-4743 F/T 2 (12, CA)

#028713

BROOKEVALE FAM DENT #1C1001 39236 ARGONAUT WAY (510) 739-0701 P/T 1 (SP) U DNTL CARE CENTER #1C3701 39470 FREMONT BLVD (510) 745-9222 F/T 1 (CH, SP, PE, HI, 12) DUC NGUYEN, DDS 39411 FREMONT BLVD (510) 438-9201 F/T 1 (VI, SP, 12, TA, CA)

#025567

FREMONT DNTL EXCEL #044899 1895 MOWRY AVE STE 120 (510) 494-8181 F/T 1 (TA, SP) U FREMONT HILLS DNTL 698 MOWRY AVE (510) 608-6097 F/T 1 (TA)

#003718

GENTLE DENTAL 39340 FREMONT BLVD (510) 651-7700 F/T 4 P/T 1 (SP)

#038174

U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

23

HILLVIEW DNTL 40739 GRIMMER BLVD (510) 651-1440 F/T 2 P/T 1 (PT, SP)

#228101

FRESNO FAM DENTISTRY #034705 1658 N BLACKSTONE AVE (559) 444-0444 F/T 1 (SP)

WESTERN DNTL SVS #036319 4901 E KINGS CANYON RD (559) 456-1600 F/T 10 P/T 23 (SP)

MINA DENTAL 40961 GRIMMER BLVD (510) 226-1900 F/T 1 (SP, HI)

#034602

GALLO DNTL #3C0901 5690 N FRESNO ST STE 101 (559) 436-3470 F/T 1 P/T 1 (SP) U

WESTERN DNTL SVS 1255 W SHIELDS AVE (559) 227-4000 F/T 2 P/T 32 (SP)

#036320

KIMMER YOUNG, DDS 1431 W SHAW AVE (559) 229-5930 F/T 1

#014632

WESTERN DNTL SVS 3077 W SHAW AVE (559) 244-5501 F/T 2 P/T 30 (SP)

#036325

LAURO SO, DMD 205 W OLIVE AVE (559) 485-0340 F/T 1 (SP, TA)

#021696

WHITE & BRIGHT FAM 6073 N FRESNO ST (559) 432-6384 F/T 1 (PE, SP)

#024652

NOEL T PAREDES, DDS 4747 N 1ST ST STE 185 (559) 824-9524 F/T 1 (SP, TA)

#037884

NORTHSIDE DNTL PRA 8835 N CEDAR AVE (559) 446-1350 F/T 2 (SP, VI)

#008872

GALT WOODWARD DNTL CARE #042111 7475 N 1ST ST STE 103 (559) 431-7645 P/T 1 (SP, VI) U

SAM AKANDE, DDS 1902 E ASHLAN AVE (559) 228-3000 P/T 1 (SP)

#014155

ROSALIE S GERONIMO, #010706 DMD INC 1956 DRISCOLL RD (510) 440-1406 F/T 1 (TA, HI, VI) U SETTY DDS INC 37259 FREMONT BLVD (510) 790-0700 F/T 1 (12, SP)

#036636 U

SMILE ZONE FAM DNTL #042500 34743 ARDENWOOD BLVD (510) 505-0123 F/T 1 (SP, HI) U SMILECARE-FREMONT #004498 36416 FREMONT BLVD (510) 739-3889 F/T 2 P/T 14 (TA, HI, SP) U FRESNO STAR DENTAL 5021 MOWRY AVE (510) 797-4900 F/T 1 (HI, SP) ANGELS FAM DENTAL 3664 W SHAW AVE (559) 277-5800 F/T 1 (SP, AR)

#021389 U #2C6601 U

BRIGHT NOW DNTL #038004 3244 W SHAW AVE STE A (559) 490-0597 P/T 6 U BRIGHT NOW! DENTAL #020942 6680 N BLACKSTONE AVE (559) 431-9111 F/T 1 P/T 7 (SP) U BRIGHT NOW! DENTAL #020943 3585 W BEECHWOOD AVE STE 102 (559) 432-0622 F/T 2 P/T 6 (SP) U BULLARD DNTL #026525 323 E BULLARD AVE STE 104 (559) 439-9990 F/T 2

24

DILJEET HEER DDS 2948 FRESNO ST (559) 264-0004 P/T 1 (VI, HI, SP)

#044380

FIRST FAMILY DENTAL 310 W SHAW AVE (559) 229-8200 F/T 1 (SP)

#142101

U

SAMI YOUSSEF, DDS #127101 4755 E GETTYSBRG AVE STE 101 (559) 292-4444 P/T 2 (SP) U SIDNEY JACKSON, DDS #161501 7433 N 1ST ST STE 101 (559) 447-3003 F/T 1 (SP) U SMILECARE - SUNNYSIDE #015430 5657 E KINGS CYN RD STE 107 (559) 454-7900 F/T 3 P/T 11 (SP) SMILECARE-FRESNO #013334 2745 W SHAW AVE STE 103 (559) 227-2900 F/T 3 P/T 11 (SP) U SMILECARE-MANCHESTER #015399 1901 E SHIELDS AVE STE 226 (559) 226-2626 F/T 3 P/T 11 (SP) U ST GEORGE QUALITY DNTL #183701 1515 W SHAW AVE STE 101 (559) 227-1700 F/T 1 P/T 1 (AR, AM, RU, SP) TOWER DNTL CARE 1215 N DEL MAR AVE (559) 233-5625 F/T 1 (SP)

#024445

WESTERN DNTL SVS 4195 E SHIELDS AVE (559) 243-8960 F/T 2 P/T 28 (SP)

#036301

GALT PLAZA DENTAL 1067 C ST STE 125 (209) 744-0463 F/T 1 P/T 1 (SP, RU, HI) GILROY SIRAK WORKNEH, DDS 430 PINE ST (209) 744-9917 P/T 1 (CA, SP, 12, RU) HANFORD GILROY PLAZA DENTAL 6974 CHESTNUT ST (408) 847-4111 P/T 1 (SP)

#019254

#027139

#037265

WESTERN DNTL SVS #036358 1560 LACEY RD BLVD STE#107 (559) 589-6301 F/T 3 P/T 36 (SP) HAYWARD WESTERN DNTL SVS #036586 210 N 11TH AVE STE 101 (559) 585-2170 P/T 37 U BRIGHT NOW! DENTAL #041409 20483 HESPERIAN BLVD (866) 898-1355 P/T 5 U DNTL SOLUTIONS/ #155001 DR SHTULMAN 19682 HESPERIAN BLVD STE 101 (510) 782-9942 P/T 1 (RU, SP) U FAIRWAY PK DNTL 31111 MISSION BLVD (510) 477-6887 F/T 1 (SP, TA)

#003967 U

GAN DNTL CARE #023007 31133 MISSION BLVD (510) 471-1500 F/T 1 P/T 1 (CA, TA, SP, 12, VI) U

FRANK WOO, DDS #334601 3636 N 1ST ST STE 126 (559) 243-1115 F/T 1 (CA, SP, KO) U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

#037720

MILLBRAE WESTERN DNTL SVS #036356 1124 W OLIVE AVE STE 101 (209) 383-5000 F/T 6 P/T 21 (SP)

#036343

CECILIA JU, DDS 140 EL CAMINO (650) 259-9896 F/T 1 (CH)

#005507

LOS GATOS SAMSON FU-LEE, DDS #0C0401 763 ALTOS OAKS DR STE 3 (650) 948-6075 F/T 1 (SP)

DNTL EASE 1070 BROADWAY (650) 697-3273 F/T 1

#037727

GENTLE DNTL HAYWARD #040736 24239 HESPERIAN BLVD (510) 786-2587 F/T 1 P/T 2 (SP)

DNTL OF LODI 531 W KETTLEMAN LN (209) 366-1850 F/T 2 P/T 1 (SP, PT)

KELVIN CAI, DDS #009022 1689 INDUSTRIAL PKWY W (510) 264-9074 P/T 1 (SP, CA)

LOS ALTOS WESTERN DNTL SVS 320 S CHEROKEE LN (209) 366-7970 F/T 2 P/T 25 (SP)

SMILECARE-HAYWARD #178901 22421 HESPERIAN BLVD (510) 782-4161 F/T 2 P/T 15 (SP) U HERCULES WESTERN DNTL SVS 123 W JACKSON ST (510) 887-5700 F/T 2 P/T 29 (SP, TA)

#039643

LINCOLN DNTL CNTR OF HERCULES #029837 844 WILLOW AVE STE A6 (510) 245-3004 F/T 1 (TA, SP) U CITADEL DENTAL #023474 941 STERLING PKWY STE 100 (916) 408-8585 P/T 1 (SP, GE, TR, RU, PE) LINCOLN HILLS FAM DNTL #015202 2295 FIELDSTONE DR STE 100 (916) 543-0222 P/T 1 U LIVERMORE PARKWAY DNTL 781 STERLING PKWY (916) 543-7880 F/T 2 P/T 2 (SP)

#016173 U

ALTA VISTA DENTAL #044891 3183 INDEPENDENCE DR (925) 292-1459 P/T 1 U LIVERMORE DENTAL 867 E STANLEY BLVD (925) 243-6491 P/T 2 (HI, EI, SP)

#2C8301

TISTRY 4375 1ST ST (925) 294-9288 F/T 1 P/T 1 (SP)

#043734

MINT DENTAL 87 FENTON ST STE 105 (925) 292-5231 P/T 2 (VI)

#044239

U

LIVINGSTON SMILE LINE DENTISTRY #039163 1046 MURRIETA BLVD (925) 456-7600 P/T 1 (PE, HI, SP) U LODI SUAVE DENTAL 746 MAIN ST (209) 535-9933 F/T 1 (SP, AR, RU)

#041929

LOS GATOS DNTL CARE #024894 555 KNOWLES DR STE 112 (408) 370-7733 F/T 1 (FR, AR, SP) U MADERA RONALD MATSUURA, DDS #132401 431 MONTEREY AVE STE 6 (408) 354-1717 F/T 1 (SP, VI) IDEAL SMILE DENTISTRY #039735 475 E ALMOND AVE STE 102 (559) 662-1010 P/T 1 (SP) MANTECA WESTERN DNTL SVS 1100 N GATEWAY DR (559) 661-5120 F/T 2 P/T 23 (SP)

#036342

STADIUM DNTL 2288 DANIELS ST (209) 456-5610 P/T 3 (SP)

#022750

WESTERN DNTL SVS 1332 E YOSEMITE AVE (209) 823-0208 F/T 2 P/T 40 (SP)

#036347

MARTINEZ WESTERN DNTL SVS 1160 W YOSEMITE AVE (209) 624-5160 F/T 1 P/T 41 ALHAMBRA DNTL 4040 ALHAMBRA AVE (925) 313-9700 F/T 1 P/T 2 (PE, SP)

U

#036831

#042527 U

MENLO PARK BRIGHT NOW! DENTAL #021489 1160 ARNOLD DR STE G (925) 372-7100 F/T 2 P/T 4 (SP, TA) U MERCED JOSEPH K SARKOSH, DDS #012522 888 OAK GROVE AVE STE 6 (650) 327-8081 P/T 1 (SP) ACCESS DENTAL 12 W 20TH ST (209) 388-1000 F/T 1 P/T 7 (SP, AM)

#000286

MILPITAS PEDRO CATURAY, DDS 1301 BROADWAY STE 7 (650) 589-3667 P/T 2 (TA, SP)

U #033681

ALEXANDER GALANG, DDS #391301 830 HILLVIEW CT STE 150 (408) 934-7676 F/T 1 (TA) KIM LUU, DDS 991 MONTAGUE EXPRESSWAY#202 (408) 263-3090 F/T 1 (SP, VI)

#017745

MADHVI DESAI, DDS #226601 40 N PARK VICTORIA DR STE D (408) 263-0371 F/T 1 (SP, HI) MAXSMILE DENT&ORTHO #009015 1465 LANDESS AVE (408) 272-2644 P/T 1 (TA, SP) NISHA DHARMANI, DDS #019240 430 E CALAVERAS BLVD (408) 263-9714 F/T 1 (SP, VI, HI) U MODESTO RADIANT DNTL CARE 10 S HILLVIEW DR (408) 719-1643 F/T 1 (SP, VI) ALAN VINCENT, DDS 105 MELROSE ST (209) 522-0411 F/T 1

#028094 U #285901

COFFEE DNTL #043358 1130 COFFEE RD STE 1A (209) 523-5991 P/T 1 (SP) U MODESTO DENTAL #020517 2225 PLAZA PKWY STE P1 (209) 576-8181 F/T 4 P/T 3 R MESBAH, DDS #037885 1101 STANDIFORD AVE STE D3 (209) 571-5429 F/T 1 (SP, AM, PE)

NEPOMUCENO DDS INC #045056 2020 COFFEE RD STE B4 U (209) 529-5886 F/T 1 U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

25

SMILECARE-MODESTO #004497 2900 STANDIFORD AVE STE 2 (209) 577-5008 F/T 6 P/T 10 (PE, SP) WESTERN DNTL SVS 1720 E HATCH RD (209) 538-9550 F/T 3 P/T 10 (SP) MORGAN HILL WESTERN DNTL SER 2045 BRIGGSMORE AVE (209) 527-3000 F/T 3 P/T 9 (SP)

#038597

#039645

CONDIT DENTAL #1C9301 17020 CONDIT RD STE 180 (408) 778-4548 F/T 1 (VI) U

#039925

ALL SMILE DNTL CENTER #031197 37070 NEWARK BLVD STE E (510) 790-8268 P/T 1 (12, CA, SP, CH) U ROSEMONT FAM DNTL 35124 NEWARK BLVD (510) 796-3441 F/T 2 (SP, TA, PT) OAKLAND SCOTT NGUYEN, DDS 6180 JARVIS AVE STE J (510) 795-9669 F/T 1 (SP, 12, VI)

#039588 U

TIMOTHY HAN, DDS #004653 2710 TELEGRAPH AVE STE 250 (510) 839-4106 P/T 1 (KO, TA) OROSI WESTERN DNTL SVS 1530 BROADWAY (510) 251-1000 F/T 9 P/T 53 (SP)

#036287

PALO ALTO GENERAL DENTISTRY #040492 12572 AVENUE 416 STE A (559) 528-4727 P/T 1 (SP)

#005532

PALO ALTO DNTL CARE #018575 3737 EL CAMINO REAL (650) 858-2028 F/T 2 P/T 1 (HI, CA, RU, CH, SP) U

BAY AREA DENTAL 475 8TH ST (510) 763-7400 F/T 1 (CA, RU, VI)

#017481

BRIGHT NOW! DENTAL 8105 EDGEWATER DR (510) 568-6272 F/T 1 P/T 5 (PE, SP, CA)

#017551

PARLIER RAVENSWOOD FAM DEN #035084 1807 BAY RD (650) 289-7700 F/T 3 (HI, TA, SP, KO)

AHMAD ABDOLLAHI, DDS #352801 285 SOUTH DR (650) 988-0787 P/T 2 (SP)

EAST BAY FAM DEN 3040 E 9TH ST STE D (510) 534-0706 P/T 1 (SP)

#138301

CAMINO FAM DEN #042851 451 W EL CAMINO ROAD (650) 938-9002 P/T 1 (SP, TA, HI)

ELEGANT SMILES #009665 3301 E 12TH ST STE 165 (510) 533-5500 F/T 1 P/T 2 (SP) U

MORGAN HILL DNTL CARE #017147 154 COCHRANE PLZ (408) 778-4838 F/T 2 P/T 1 (VI, SP) U MOUNTAIN VIEW SOUTH VALLEY DENTAL #020283 15870 MONTEREY ST (408) 778-6684 F/T 1 (SP, VI) U

DONIAN SHEN, DDS 105 SOUTH DR STE 140 (650) 938-1868 F/T 1 (TA, SP, JA)

#023615

FAMILY DENTISTS 1510 FRANKLIN ST (510) 893-1923 P/T 1 (SP, PE)

U

U

#043497

MIRAMONTE DENTAL #045006 1702 MIRAMONTE AVE STE A (650) 988-0700 F/T 1 (SP, HI)

FRANKLIN DNTL CARE #017666 1624 FRANKLIN ST STE 1220 (510) 893-4041 F/T 1 P/T 1 (SP, KO) U

OLIVE TREE DENTAL #016204 2290 W EL CAMINO REAL STE 3 (650) 938-8870 F/T 1 (TA) U

GENTLE DENTAL #167001 1624 FRANKLIN ST STE 615 (510) 451-7881 F/T 1 P/T 6 (SP, CA)

NAPA SAN ANTONIO DENTAL #0C8401 530 SHOWERS DR STE 3 (650) 917-8348 F/T 1 (SP, CH) U

OAKLAND DNTL CARE 1700 BROADWAY (510) 444-6300 F/T 1 (SP)

COAST DNTL - NAPA 2016 JEFFERSON ST (707) 603-4955 F/T 2 P/T 3

#041240

TRANCAS DNTL #014096 935 TRANCAS ST STE 4E (707) 257-6277 F/T 3 P/T 3 (SP)

26

NEWARK WESTERN DENTAL 1260 TRANCAS ST (707) 501-5101 F/T 3 P/T 29 (SP)

PETALUMA DILJEET HEER, DDS #2C3801 545 E MANNING AVE STE 108 (559) 646-3844 F/T 1 (HI, SP) U PETALUMA FAM DNTL 47 MARIA DR STE 813 (707) 763-3203 P/T 1

#017548

PREMIER DNTL CARE #018928 1456 PROFESSIONAL DR STE 401 (707) 766-7373 F/T 1 (FR, SP, GE) U PINOLE SURYA ACHYUTA, DDS #020354 1372 N MCDOWELL BLVD STE B1 (707) 778-9993 F/T 1 U PITTSBURG BRIGHT NOW! DENTAL #026081 1477 FITZGERALD DR STE 106 (510) 669-0350 F/T 2 P/T 2 (SP)

#024221

SKY DENTAL #011404 2230 GLADSTONE DR STE 100 (925) 432-2444 P/T 2 (SP, PE, GE, RU, TA, 12, CA, FR) U

OAKLAND SMILE DENTAL #038288 8105 EDGEWATER DR STE 124 (510) 924-7310 F/T 1 (SP) U

PLACERVILLE WESTERN DNTL SVS #036289 2120 RAILROAD AVE STE 105 (925) 439-4773 F/T 1 P/T 72 (SP)

ROTUNDA DNTL CARE #039770 300 F H OGAWA PLZ STE 100 (510) 893-0808 F/T 4 (SP) TIMOTHY HAN, DDS 320 13TH ST STE 301 (510) 839-2045 P/T 1 (KO)

#177701

BROOKSIDE DENTAL #014629 4330 GOLDEN CENTER DR (530) 622-1987 F/T 1 U

PLACERVILLE D&ORTHO #028184 699 MAIN ST STE B (530) 295-8000 F/T 1 U U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

PLEASANT HILL TUNNEL CREEK DENTAL #036786 2916 TUNNEL ST (530) 344-8000 F/T 1

REDDING RC DNTL #021048 10390 COLOMA RD STE A (916) 368-0440 P/T 1 (RU, 12, KO, SP) U

ROHNERT PARK SMILE TIME DENTAL 6000 FAIRWAY DR (916) 271-9995 P/T 4 (SP, TA, RU)

DIABLO VALLEY DNTL #017703 30 GOLF CLUB RD STE C (925) 685-8633 P/T 2 (VI, HI) U

ACCESS DENTAL #023689 1667 HILLTOP DR (530) 223-5500 F/T 3 P/T 12 (SP, TA, PE) U

BRIGHT NOW! DENTAL 5755 REDWOOD DR (707) 584-1000 F/T 2 P/T 2 (SP)

PLEASANTON PLEASANT HILL SMILES DTL #037931 2380 MONUMENT BLVD STE F (925) 363-4455 F/T 2 P/T 2 U

REDWOOD CITY ERIC R WAITS, DMD 2115 EUREKA WAY (530) 246-1142 F/T 1 (GE, TA)

ROSEVILLE LORA H COSTA, DDS #023459 1331 MEDICAL CENTER DR STE H (707) 585-8599 P/T 1 (VI, SP, TA) U

ALISAL DNTL CARE #2C5101 5933 CORONADO LN STE 2F (925) 401-0300 F/T 2

BIRCH DNTL 155 BIRCH ST STE 5 (650) 366-0552 P/T 1

BERNAL DNTL CARE #042699 3283 BERNAL AVE STE 108 (925) 249-9242 P/T 1 (CH, SP) U

EUGENE ESPIRITU #012387 705 VETERANS BLVD STE SUITE1 (650) 298-8818 P/T 1 (TA, CH, CA, SP)

BERNAL DNTL 4466 BLACK AVE STE K (925) 485-1172 F/T 1 P/T 2 (HI, CH, SP)

#164201

MOJAB GEN & SPC DNTL #044444 1439 CEDARWOOD LN STE D (925) 484-1202 F/T 1 (SP, PE) PATTANAYAK DNTL CORP #044370 1400 SANTA RITA RD STE C (925) 485-9595 F/T 1 (HI, SP) PLEASANTON RDG DNTL #043338 6766 BERNAL AVE STE 56 (925) 461-3100 F/T 1 P/T 2 U PORTERVILLE TRI-VALLEY DENTAL #013771 5820 STNRGE MALL RD STE 118 (925) 225-1555 F/T 1 (KO, TA, SP) SWEET SMILES 365 PEARSON DR STE 2 (559) 788-2532 F/T 1 (SP)

#043191

RANCHO CORDOVA WESTERN DNTL SVS #036350 1213 W HENDERSON AVE (559) 306-3061 F/T 6 P/T 30 (SP) PRO CARE DENTAL #042438 11050 COLOMA RD STE 17 (916) 635-9800 P/T 2 (HI, CH, SP, VI) U RANCHO CORDOVA DNTL #037990 10910 OLSON DR STE 100 (916) 638-3780 F/T 1 P/T 1 U

UNITED DENTAL 647 VETERANS BLVD (650) 367-4300 P/T 1 RICHMOND WESTERN DNTL SVS 975 VETERANS BLVD (650) 365-8900 F/T 1 P/T 33

#021046

#031550

#031062 U #036284

RIVERBANK WINNING SMILE DNTL #028840 12732 SAN PABLO AVE (510) 233-3100 F/T 1 (SP) ROCKLIN SUAVE DENTAL 3309 SIERRA ST (209) 872-3399 P/T 1

#042877

HEALTHY SMILES FAM #021692 2160 SUNSET BLVD STE 503 (916) 771-0757 F/T 1 (CA) U HERITAGE OAK DENTAL #045051 3700 ATHERTON RD (916) 626-4050 F/T 1 HIGHLAND DNTL GRP #016849 3291 STANFORD RANCH RD # 102 (916) 435-1665 F/T 3 P/T 1 (SP) ROCK CREEK DENTAL #045130 2230 SUNSET BLVD STE 370 (916) 791-8800 F/T 1 SERENITY DENTAL #041806 6661 STANFORD RANCH RD STE D (916) 630-1084 F/T 1 (RU) U

#032054

#025253 U

AESTHETIC DENTISTRY #028281 8445 SRRA COLG BLVD STE B (916) 773-0505 F/T 1 (RU, AM) U AMER FAM DENT 1160 CIRBY WAY #100 (916) 789-8530 F/T 2 (SP, PE, RU)

#001704 U

BRIGHT NOW NO ROSEVILLE #041534 721 PLSNT GRV BLVD STE 150 (916) 865-2252 P/T 5 U BRIGHT NOW! DENTAL #017161 960 SUNRISE AVE STE 115 (916) 772-9300 F/T 1 P/T 4 (SP, RU) U COAST DENTAL 1079 SUNRISE AVE C (916) 297-4700 F/T 1

#045532

CONFIDNTL CARE 927 RESERVE DR STE A (916) 742-5424 F/T 2

#042339 U

GRANITE BAY SMILES #007284 8630 SRRA COLG BLVD STE 110 (916) 783-0244 F/T 2 P/T 1 (SP) U HEALTHY IMPRES DNTL #032271 730 SUNRISE AVE STE 120 (916) 797-0868 P/T 1 INTERDNTL CARE #012754 106 N SUNRISE AVE STE B10 (916) 787-0631 F/T 1 (RU, VI, CH, TA, SP) U PAVILIONS DENTAL #016175 1259 PLSNT GRV BLVD STE 100 (916) 782-2010 F/T 1 P/T 2 (SP) U PLEASANT GROVE DNTL #010386 10357 FAIRWAY DR STE 100 (916) 782-4500 P/T 2 U ROCKY RIDGE FAM DNTL #011889 1700 ROCKY RIDGE DR STE 100 (916) 782-6001 P/T 1 U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

27

SAID SHAARI, DDS #1C2301 406 1/2 SUNRISE AVE STE 270 (916) 789-4568 P/T 1 (PE, RU, FR) U

IRVIN RAMSEY, DDS #034192 905 SECRET RIVER DR STE C (916) 393-2587 F/T 1 (TA) U

SHAILESH JAWALE, DDS #029990 928 PLSNT GRV BLVD STE 100 (916) 772-1367 F/T 1 (HI)

MADISON DTL CARE 5149 MADISON AVE (916) 338-3880 F/T 1

SIAMAK OKHOVAT, DDS #029989 2110 PROFESSIONAL DR STE 115 (916) 783-5600 F/T 1 (GE, PE) U

MARCONI DNTL #041428 4350 MARCONI AVE STE 100 (916) 487-7148 P/T 3 (PE, SP) U

SAC DENT GRP 1105 E ST (916) 538-6900 F/T 2 P/T 2 (SP)

STAR DENTAL #023652 2030 DOUGLAS BLVD STE 37 (916) 773-6222 F/T 2 P/T 1 (SP, PE) U

MARKET WEST DNTL #016569 3290 ARENA BLVD STE 610 (916) 574-9400 F/T 2 (SP, TA, RU, PE, VI) U

SAID SHAARI, DDS #014095 77 CADILLAC DR STE 270 (916) 649-8200 P/T 1 (SP, RU, CH, PE)

SUNRISE FAM DNT #045327 901 SUNRISE AVE STE A1 (916) 520-1717 F/T 1

MIRACLE SMILE #018046 DEZHAM DNTL GRP 2131 CAPITOL AVE STE 100 (916) 441-3311 F/T 2 (RU, CA, SP, PE) U

SCRIPPS DNTL 79 SCRIPPS DR STE 204 (916) 565-2570 F/T 1

SACRAMENTO WESTERN DNTL SVS #036335 9450 FAIRWAY DR STE 110 (916) 771-8464 F/T 3 P/T 69 (SP)

MODERN DNTL HEALTH #043852 3428 WATT AVE STE B (916) 489-9990 P/T 3 (SP) U

A+ DENTAL #023944 3307 ALTA ARDEN EXPY (916) 974-1819 F/T 2 (GE, KO, SP) U

MORE SMILES DENTAL #032105 2020 HURLEY WAY STE 135 (916) 641-7700 F/T 1 U

ADRIANE SCORTIA, DDS #133301 7248 S LAND PARK DR STE 200 (916) 451-4432 F/T 1 (RO, RU)

NATOMAS DNTL CARE 2321 NORTHGATE BLVD (916) 564-8088 F/T 1

#040404

ARDEN OAKS DNTL CARE #036882 1741 PROFESSIONAL DR (916) 485-5539 F/T 2 U

NEW DNTL IMAGES 6624 VALLEY HI DR (916) 688-1990 F/T 1 (TA, SP, VI)

#024276

BRENT VARSHAWSKY, DMD #165601 1901 WATT AVE STE 2 (916) 483-5677 F/T 1

NEW ESSENCE DNT #036898 4000 TRUZEL ROAD, STE 2 (916) 515-1000 F/T 1 (SP) U

#023542

ODEAN LONEY, DMD #233901 905 SECRET RIVER DR STE A (916) 428-5318 F/T 1 U

BRIGHT NOW! DENTAL 591 WATT AVE STE 100 (916) 481-5057 F/T 1 P/T 4 (SP)

U

CHARLES TRAN, DDS #387001 6175 STOCKTON BLVD STE 260 (916) 427-6263 F/T 1 (CA, HI, CH, TA, VI, SP) U

PACIFIC PL FAM DNTL #000669 6930 65TH ST STE 107B (916) 422-5697 F/T 1 P/T 1 (CA, CH, SP, VI) U

CURTIS DENTAL 1355 FLORIN RD STE 18 (916) 391-1161 F/T 1 (AR)

#038828

PARK PLACE DNTL #010387 4690 NATOMAS BLVD STE 100 (916) 515-4500 P/T 2 (CA, PE, 12, HI, SP) U

ELDER CREEK DNTL 3811 FLORIN RD STE 8 (916) 392-7020 F/T 1 P/T 1 (SP, KO, JA)

#039592

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GREENHAVEN DNTL #277101 925 SECRET RIVER DR STE B (916) 421-3993 F/T 1 P/T 1

28

#242901

PAUL SHIEH, DDS 5659 STOCKTON BLVD (916) 456-8625 F/T 1 (12, HI, TA)

#026025

PIONEER FAMILY DENTAL #322101 7850 STOCKTON BLVD STE 160 (916) 689-3310 F/T 4 P/T 1 (CA, 12, VI, TA, SP, PE) U

PRO DNTL 1111 24TH ST STE 201 (916) 442-5228 P/T 1 (LO, AM, KO, RU)

#027422 U

PROMENADE DNTL #023836 3635 N FREEWAY BLVD STE 110 (916) 285-6691 F/T 1 P/T 1 (SP) U #031026 U

#044948 U

SERENA PUGEDA, DMD #114901 2518 L ST STE A (916) 446-7768 F/T 3 (TA) SMILE MAKERS 1906 DEL PASO RD (916) 263-9888 P/T 2 (CA, CH)

#022867 U

SMILE TIME DENTAL #044379 3433 ARDEN WAY STE B (916) 984-4224 P/T 4 (AR, CH, RU) U STRAWBERRY CRK DNTL #040356 8211 BRUCEVILLE RD STE 155 (916) 525-7635 F/T 2 P/T 1 (SP) U UNIQUE DENTAL #1C9201 7300 FRANKLIN BLVD STE 104 (916) 428-4325 P/T 1 (12, RU, CA, SP, GE, TH) V ALINDOGAN, DDS #2C6201 8876 VINTAGE PARK DR STE 105 (916) 681-2751 F/T 1 (TA) U VINEYARD DENTAL #037655 8940 VINTAGE PARK DR STE 100 (916) 525-3200 F/T 1 (CA) VP DNTL CARE 3337 EL CAMINO AVE (916) 486-8240 F/T 1 (SP, VI)

#019048

WEST FLORIN DENTAL 930 FLORIN RD STE 100 (916) 706-1915 F/T 1 (SP, VI)

#031027

WESTERN DNTL SVS 834 ELK FLORIN RD (916) 509-3334 F/T 5 P/T 15 (SP)

#044851

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U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

SALIDA GONZALES, DMD 2378 FRUITRIDGE RD (916) 421-1010 F/T 1 SALINAS SALIDA DNTL 5708 PIRRONE RD (209) 543-3888 P/T 2

#024691 U #037923

ACCU DENTAL 668 E ROMIE LN (831) 772-0559 P/T 1 (SP)

#037257

CEN COAST PED DNTL 945 BLANCO CIR STE D (831) 424-0641 F/T 3

#040610

CEN COAST PED DNTL 633 E ALVIN DR STE B (831) 443-1177 P/T 3

#040614

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DIAMOND DNTL SALINAS #033434 1209 N DAVIS RD (831) 424-4111 F/T 1 (TA, SP) U IMAGE DENTAL 1184 MONROE ST # 9 (831) 512-7515 P/T 1 (SP, VI)

#043371

PETER YANG, DDS 11 MAPLE ST STE E (831) 753-6598 F/T 1 (SP)

#019420

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STEINBECK CNTRY DTL PRA #275801 535 E ROMIE LN STE 10 (831) 758-5836 F/T 2 (SP) WESTERN DNTL SV 1229 N MAIN ST (831) 442-8000 F/T 2 P/T 36 (SP) SAN BRUNO WESTERN DNTL SVS 921 S MAIN ST STE A (831) 783-3160 F/T 2 P/T 28 (SP)

#036336

#036344

EUGENE ESPIRITU #336601 1230 EL CAMINO REAL STE K (650) 875-6808 P/T 1 (SP) SAN FRANCISCO SAN BRUNO DNTL CARE #029379 211 EL CAMINO REAL (650) 589-4784 F/T 2 (SP, GE, TA) U GONZALEZ, DDS 2720 24TH ST (415) 282-4566 F/T 1 (SP)

#082801

CEN OF COS DENTISTRY #014142 1550 LOMBARD ST (415) 921-5555 P/T 1

SOUTH VAN NESS DNTL #213501 240 SHOTWELL ST STE 230 (415) 431-9797 F/T 1 P/T 1 (SP)

GENTLE DENTAL 2494 MISSION ST (415) 821-1200 F/T 4 P/T 5 (SP, RU)

#058401

VAN NESS DNTL #212701 2243 VAN NESS AVE STE 101 (415) 441-2098 F/T 4 (SP, CA, VI, CH)

GENT DNTL S F 2364 GEARY BLVD (415) 921-6722 P/T 2 (CA, CH)

#144101

WESTERN DNTL SVS 1282 MARKET ST (415) 552-1200 P/T 18 (SP)

GRAND MISSION DNTL #132801 4749 MISSION ST (415) 469-7444 F/T 1 (TA, SP)

SAN JOSE WESTERN DNTL SVS 2813 MISSION ST (415) 285-7500 F/T 10 P/T 14 (SP)

HIPOLITO BARONIA, DDS #151701 2480 MISSION ST STE 214 (415) 821-7847 F/T 1 (TA, SP) J T DENTAL 2415 NORIEGA ST (415) 682-2415 F/T 1 (12, CA, SP)

#121801

KAYVAN KAFAYI, DDS #022751 450 SUTTER ST RM 1433 (415) 398-2360 F/T 1 (SP, PE, GE, CH, FR, IT) MAT KIISK, DDS 3100 19TH AVE (415) 584-2537 F/T 2 (SP, JA, TA)

#265501

MICHAEL COLE, DDS #033063 2595 MISSION ST STE 308 (415) 647-9191 F/T 1 (SP) BERDICHEVSKY, DDS #134701 4444 GEARY BLVD STE 303 (415) 386-5590 F/T 1 P/T 1 (RU) U NORIEGA DENTAL 3749 NORIEGA ST (415) 661-8851 F/T 1 (CA, CH)

#184601

OCEAN DNTL OFFICE #008428 760 LA PLAYA ST (415) 221-5592 F/T 2 P/T 1 (12, TA, CH, RU, CA, SP) RICHMOND DNTL CARE #136501 4312 GEARY BLVD (415) 752-5605 F/T 2 (RU, CH, SP) U CALABIO DMD INC 3184 22ND ST (415) 642-2050 F/T 1 (TA)

#023138

RONALD YOUNG, DDS 1637 LOMBARD ST (415) 928-3777 F/T 1 (SP, CA, 12)

#319201

ACCU DENTAL 730 STORY RD STE 5 (408) 998-1088 P/T 1 (SP)

#039640

#039642

#037258

ADRIENNE VAN, DDS #021635 2114 SENTER RD STE 14 (408) 298-9951 P/T 1 U AFSHIN ABDOLLAHI, DDS #143301 1300 MERIDIAN AVE (408) 979-0808 F/T 1 P/T 1 (PE, SP) ALL STAR DENTAL #009135 259 MERIDIAN AVE STE 12 (408) 275-0768 F/T 1 (PE, SP, TA) ALMADEN DENTAL #041469 5595 WINFIELD BLVD STE 102 (408) 224-5200 F/T 1 BERNA SANAYEI, DDS #036417 2929 THE VILLAGES PKWY (408) 274-9554 F/T 1 (SP, TR) BIG SMILES DNTL CARE #013295 1547 SARATOGA AVE (408) 725-3740 F/T 1 BLOSSOM HILL DNTL #042504 704 BLOSSOM HILL RD STE 100 (408) 363-8700 F/T 1 (SP) U BRIGHT NOW DENTAL #039738 171 CURTNER AVE STE 80 (866) 898-1355 P/T 3 CAO TU NGUYEN, DDS #045499 2114 SENTER ROAD STE 3 (408) 993-8624 F/T 1 (FR, VI)

COMFORT DNTL #398301 2881 HEMLOCK AVE # A (408) 249-8888 F/T 1 (TA, PE, VI, SP) U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

29

DAVID MENG, DDS INC #014876 2505 SAMARITAN DR STE 308 (408) 356-3588 P/T 1

KINI GENTLE DNTL CARE #026187 827 BLOSSOM HILL RD STE W5 (408) 226-1060 P/T 1

TIANNA DAO, DDS 2344 MCKEE RD STE 10 (408) 926-9300 F/T 1 (VI, SP)

#143601

DNTL CON EASTRIDGE #142401 2200 EASTRIDGE LOOP STE 1060 (408) 238-6684 F/T 1 (SP, CH, HI, TA, VI, KO) U

LEXANN SMILE DENTAL #042562 1569 LEXANN AVE STE 108 (408) 270-4211 F/T 1 (VI, SP)

TULLY FAMILY DENTAL 1937 TULLY RD STE B (408) 929-9398 P/T 1 (SP, VI)

#045005

DNTL SOLUTIONS #036198 2680 S WHITE RD STE 100 (408) 531-9501 F/T 1 (SP, HI) U

MUU VU, DDS 2340 MCKEE RD STE 3 (408) 923-6400 P/T 1 (SP, VI)

#018169

TUYEN NGUYEN, DDS 634 E SANTA CLARA ST (408) 286-6156 F/T 1 (VI, SP)

#020995

EVERGREEN DNTL GRP #397701 3162 NEWBERRY DR STE 10 (408) 274-9600 F/T 1 (SP)

MUU VU, DDS #024021 1569 LEXANN AVE STE 102 (408) 223-0104 P/T 1 (SP, VI) U

UNI DENTAL #021004 175 S CAPITOL AVE STE E (408) 923-3073 F/T 1 (SP, VI)

FARIBA ALIKHANI, DMD #015865 3575 STEVENS CREEK BLVD # L (408) 247-3400 F/T 1 (TA, SP, PE)

OAKRIDGE DENTAL #3C1101 5450 THORNWOOD DR STE B (408) 360-0270 F/T 1 (HI, SP, PE, RU) U

UNIDENT 2390 SENTER RD (408) 298-6420 P/T 1 (VI, PE, SP)

GURDIP NARULA, DDS #033735 2850 QUIMBY RD STE 145 (408) 274-5000 F/T 4 (SP, HI, TA) U

ONE STOP DENTAL 1155 S KING RD (408) 928-5678 F/T 2 (SP, VI, CH)

#033366

UNISMILE #037313 6134 CAMINO VERDE DR STE G (408) 226-1600 P/T 1 (SP, HI) U

HEALTHY SMILES FAM #033686 2664 BERRYESSA RD STE 107 (408) 258-1323 F/T 1 (HI, SP, TA) U

PORTIA OBLEA DMD 2356 SENTER RD (408) 993-9939 F/T 1 (SP, TA)

#024850

VALLEY DNTL PLAZA 1664 STORY RD (408) 937-9849 F/T 1 (TA, SP)

NGUYEN, DDS INC #028063 266 N JACKSON AVE STE 3 (408) 258-2207 F/T 1 (VI, SP)

PRO-TECH DNTL CARE #025083 2664 BERRYESSA RD STE 210 (408) 258-8903 F/T 1 (VI, TA) U

VALLEY FAMILY DNTL #163301 2060 ABORN RD STE 150 (408) 239-0816 F/T 1 (VI)

#013287

RIO DNTL CLINIC #041552 1060 S WHITE RD STE C (408) 929-4321 F/T 1 (VI, SP) U

W DNTL CARE #041319 747 S WNCHESTER BLVD STE 120 (408) 246-7474 F/T 1

JACKSON FAMILY DENTAL #186401 2324 MONTPELIER DR STE 3 (408) 937-5950 F/T 2 (SP, PE)

S J DENTAL #042546 1876 CURTNER AVE STE 100 (408) 371-7391 F/T 1 (SP, CH, CA, 12)

WESTERN DNTL SVS 48 E SANTA CLARA ST (408) 293-7000 F/T 2 P/T 38 (SP)

#036318

JACOB P PAI 648 E SANTA CLARA ST (408) 287-0913 P/T 1 (SP)

#043230

SETTY DNTL CORP #023687 1705 BRANHAM LN STE B30 (408) 264-7630 F/T 1 P/T 1 (SP, HI, TA, VI) U

WESTERN DNTL SVS 1871 CAMDEN AVE (408) 377-5700 F/T 7 P/T 42 (SP)

#036353

JASNA GALEB, DDS 1547 SARATOGA AVE (408) 725-8331 P/T 1 (HR, RU)

#014877

SILICON DENTAL #017363 2060 ABORN RD STE 210 (408) 238-5500 P/T 1 (HI, SP)

WILLIAM THAI, DDS 630 E SANTA CLARA ST (408) 995-5424 F/T 1 (VI)

#133001

JOEL SANTOS, DDS #134901 200 N JACKSON AVE STE D (408) 254-7491 F/T 1 (TA)

SMILE DESIGN #036633 1206 N CAPITOL AVE STE 201 (408) 732-3264 (HI, SP)

JOHN VU, DDS #030245 1399 S WNCHESTER BLVD # 120 (408) 370-7767 (VI, SP) U

SMILECARE-SAN JOSE II #178701 5130 STEVENS CREEK BLVD (408) 557-9830 F/T 3 P/T 7 (SP)

SAN LEANDRO WILLOW DNTL CARE 1675 WILLOW ST (408) 264-8700 F/T 1 (TA, SP)

KINI DNTL CARE #019242 100 OCONNOR DR STE 23 (408) 998-8383 F/T 1 (SP, HI) U

STORY DNTL CNTR 2454 STORY RD (408) 272-0888 F/T 1 P/T 1 (SP)

IMAGE DENTAL 2493 ALVIN AVE (408) 223-0988 P/T 1 (SP, VI)

30

U

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#003503

ANDY Q V LE DDS 1600 150TH AVE (510) 276-5533 P/T 1 (VI, SP)

U

#009619

#030822 U

#018511 U #019633 U

SMILECARE-SAN LEANDRO #178801 15301 WASHINGTON AVE (510) 351-6820 F/T 3 P/T 20 (SP, VI) U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

SAN MATEO WESTERN DNTL SVS #036315 14895 E 14TH ST STE 100 (510) 618-1230 F/T 2 P/T 66 (SP) A + DNTL CENTER #037686 400 N SAN MATEO DR 2 (650) 343-0895 P/T 1 (CA, SP, TA) DECCAN DENTAL #037665 320 N SAN MATEO DR # 2 (650) 477-6920 F/T 1 (CH, HI, CA) GEORGE WOLFF, DDS 255 N SAN MATEO DR (650) 347-7100 F/T 1

#277501

PENINSULA DENTAL #2C0001 401 A N SAN MATEO DR (650) 344-7626 P/T 2 SAN PABLO WESTERN DNTL SVS #042548 4100 S EL CAMINO REAL (650) 235-1460 P/T 9 (SP) CONTRA COSTA DENTAL #030705 14330 SAN PABLO AVE STE B (510) 234-1414 P/T 1 (HI, TA, SP, VI) U SAN RAFAEL REACH DNTL CARE #015680 4200A KLOSE WAY (510) 223-8228 F/T 2 P/T 1 (RU, CH, TA, CA, 12) PACIFIC DNTL 1523 5TH AVE (415) 453-6277 P/T 1 (CA, SP)

#3C1301

SAN RAMON SAN RAFAEL DENTISTRY #000898 905 LINCOLN AVE (415) 453-1241 F/T 1 (SP) COUNTRY FAIR DENTAL #000594 12111 ALCOSTA BLVD (925) 829-3111 P/T 2 (KO, CH, HI, SP) U SAN RAMON FAM DNT #022858 3160 CROW CANYON RD STE 100 (925) 866-8422 F/T 1 (VI, HI) U SANGER SMILECARE #013211 9130 ALCOSTA BLVD STE A (925) 803-9700 F/T 4 P/T 16 (PE, SP, HI) SANTA CLARA KIM TRAN DDS INC 263 ACADEMY AVE (559) 876-1031 F/T 1 (VI, SP)

#042109 U

BRUCE DNTL CORP #017604 1500 LOS PADRES BLVD STE 101 (408) 244-3867 F/T 1 (SP, TA) NORTHERN DENTAL #1C1301 122 SARATOGA AVE (408) 556-1333 F/T 3 P/T 3 (RU, PE, AR, SP) PLEASANT DENTAL #038078 4533 STEVENS CREEK BLVD (408) 345-9191 F/T 1 SILICON VALLEY DENTAL #019966 2975 BOWERS AVE STE 100 (408) 987-0530 F/T 1 (VI, JA, FR, HI, SP, CH) STAR DENTAL #010498 980 EL CAMINO REAL STE 250 (408) 247-3740 F/T 2 (SP, RU, TA) SANTA CRUZ WESTERN DNTL SVS 2825 EL CAMINO REAL (408) 343-4170 F/T 2 P/T 12 (SP) MOORADIAN, DDS 550 WATER ST STE J1 (831) 425-5515 F/T 1 (SP, FR, PE, AM) SANTA ROSA WESTERN DNTL SVS 1107 OCEAN ST (831) 600-3260 F/T 3 P/T 33 (SP)

SEASIDE PROSPECT DNTL CARE 1480 SARATOGA AVE (408) 252-6000 F/T 1 P/T 1 (FR, SP, PE)

#009540

SELMA CNTL COAST PED DNTL #040612 1717 FREMONT BLVD (831) 899-5437 P/T 3 U SOUTH SAN FRANCISCO MANDEEP SANDHU #040621 2059 HIGH ST (559) 896-8888 P/T 1 (HI, SP)

#041754

CECILIA AVENIDO DMD INC #040747 2400 WESTBOROUGH BLVD STE 20 (650) 989-8502 F/T 1 (TA, SP) U

#2C9901

GRAND MISSION DNTL #115101 125 NORTHWOOD DR STE A (650) 225-0202 F/T 1 (SP, TA)

#036338

CHARLES AIKAWA, DDS #191601 397 AVIATION BLVD STE L (707) 579-1201 F/T 1 P/T 1 (SP) U ESSENTIAL DNTL CARE #021793 55 MISSION CIR STE 103 (707) 568-0480 F/T 1 (SP, PE) OFF OF DR ROSTAMI INC #037617 479 STONY POINT RD (707) 523-3700 P/T 1 (SP) U SMILECARE-SANTA ROSA #000893 140 STONY POINT RD STE A (707) 578-3118 F/T 2 P/T 3 (SP) WESTERN DNTL SVS #036327 4100 MONTGOMERY DT STE B (707) 537-2020 F/T 3 P/T 47 (SP) WESTERN DNTL SVS 1240 FARMERS LN (707) 542-5200 F/T 1 P/T 50

SARATOGA YUNFEI FAN DDS #036813 1420 GUERNEVILLE RD STE 5 (707) 623-9471 F/T 1 (CA, CH, SP, 12)

#045242

JEANETTE ESTIPONA, DDS #024022 2400 WESTBOROUGH BLVD # 103 (650) 296-6952 F/T 1 (TA) NORTHWOOD DNTL CARE #2C2301 125 NORTHWOOD DR STE A (650) 827-9746 F/T 1 (SP, TA) PURE SMILE DNTL #041328 1133 EL CAMINO REAL STE# 5 (650) 244-9928 P/T 1 (TA, CH) U TRINITY DNTL CARE 1124 MISSION RD (650) 872-3030 F/T 1 (TA)

#014628

STOCKTON WINSTON MANOR DNTL #013447 101 HICKEY BLVD STE C (650) 991-4848 F/T 1 (TA) ACCESS DENTAL 902 E HAMMER LN (209) 957-9500 F/T 2 P/T 15 (CH, SP)

#000221

BRIGHT NOW DENTAL 6323 PACIFIC AVE (209) 242-0470 P/T 2

#040719

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DNTL OF STOCKTON #037719 1036 W ROBINHOOD DR STE 104 (209) 956-9650 F/T 1 (SP) EDUARDO H ROA DDS

#036906

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

31

1341 W ROBINHOOD DR STE C3 (209) 957-0765 F/T 2 (SP) GOTTA SMILE 6360 PACIFIC AVE STE 2 (209) 227-8462 F/T 1 (SP)

#041047 U

KEVIN PHAM, DDS PC #031827 3322 E HAMMER LN STE H (209) 475-0869 F/T 1 (SP, VI) U MARIA ORONCE, DMD #024855 1610 N EL DORADO ST STE 4 (209) 462-8361 F/T 2 PARK WEST DNTL 10928 TRINITY PKWY (209) 474-8000 P/T 2 (SP)

#014339 U

SMILECARE DNTL #013124 5756 PACIFIC AVE STE 75 (209) 472-1765 F/T 2 P/T 10 (SP) U SO. CA DTL PRACTICE 20 S CALIFORNIA ST (209) 941-0814 P/T 1 (HI, SP, CH)

#026860 U

STAR DNTL PRACTICE #028413 8626 LOWER SACTO RD STE 37B (209) 951-8088 F/T 1 (CH, HI, TA, SP) U WESTERN DNTL SVS 1407 W MARCH LN (209) 473-4000 F/T 4 P/T 32 (SP)

#036326

WESTERN DNTL SVS #042096 678 N WILSON WAY STE D (209) 937-9000 F/T 3 P/T 14 (SP) SUNNYVALE WESTERN DNTL SVS 7860 WEST LN STE B5 (209) 954-1727 F/T 1 P/T 15 (SP)

#042098

GENTLE DNTL #008454 1639 HOLLENBECK AVE (408) 732-6931 F/T 1 P/T 3 (HI, RU, SP, TA, VI) I DNTL 1298 KIFER RD STE 501 (408) 830-0123 F/T 1 (CA, 12)

#041875

JOON KU LEE, DMD #178501 500 E REMINGTON DR STE 26 (408) 774-2828 F/T 1 (KO) U LORA COSTA, DDS 1286 KIFER RD STE 110 (408) 774-1200 P/T 1 (SP, VI, TA)

32

#025246

PANJRATH, DDS #025568 689 E REMINGTON DR STE B 2 (408) 739-6520 F/T 1 (PE, SP)

HAWKEYE FAM DNT #045008 711 E HAWKEYE AVE STE 2 (209) 632-2082 F/T 1 (SP)

SAI DENTAL #028978 1050 E EL CAMINO REAL (408) 423-9197 F/T 1 (HI, PE)

HEALTHY SMILE DENTAL #014891 241 N PALM ST (209) 668-9300 P/T 2 (HI, TH, SP, CH)

SMILESAVERS DENTAL #010499 1214 APOLLO WAY STE 402 (408) 737-0101 F/T 1

MONTE VISTA DENTAL #025874 3212 W MONTE VISTA AVE (209) 669-6500 P/T 1 (RU, SP, HI) U

SUNNYVALE DNTL AESTH #028071 1286 KIFER RD STE 105 (408) 736-8880 P/T 1 (SP, CH) U

UNION CITY WESTERN DNTL SV #038595 703 N GOLDEN STATE BLVD (209) 634-0500 F/T 3 P/T 8 (SP) U

TRACY SUNNYVALE FAM DTL #398201 990 W FREMONT AVE STE 0 (408) 739-8999 F/T 1 (SP)

#039548 U

U

NOBLE DNTL CARE #039162 34603 ALVARADO NILES RD (510) 493-2130 P/T 1 (HI, SP) U

BRITE SMILES DENTISTRY #032650 1170 W 11TH ST (209) 839-1600 F/T 1 (SP, HI)

SHINE DENTAL #033018 34665 ALVARADO NILES RD (510) 441-7645 F/T 1 (HI, PE, AR) U

#028290

VACAVILLE TRINH TRAC, DDS #023129 33448 ALVARADO NILES RD (510) 429-1178 F/T 1 (SP, CA, VI) U

BRIGHT NOW! DENTAL 2135 N TRACY BLVD (209) 836-4950 F/T 1 P/T 8 (TA, SP)

CALIFORNIA DNTL 3101 N TRACY BLVD (209) 830-7473 F/T 1

#023268

BV FAM COS DENT 2 UNION SQ STE 230 (510) 489-5000 F/T 1 (SP, HI)

U

COAST DENTAL #003724 2990 W GRANT LINE RD (209) 830-7797 F/T 3 P/T 9 (SP) U GRANTLINE DENTAL #023693 2242 W GRANT LINE RD STE 102 (209) 832-2525 F/T 1 (TH, CH, SP, TA, HI) U OFF OF DR ROSTAMI INC #010762 530 W EATON AVE STE L (209) 839-8810 P/T 1 (SP, PE) PARAMJIT SINGH, DDS #029718 4598 S TRACY BLVD STE 150 (209) 221-6666 F/T 1 (SP, TA, HI) U TRACY SMILES DTL GRP #033811 2600 S TRACY BLVD STE 170 (209) 836-5441 F/T 1 P/T 2 (SP) U TULARE WESTERN DNTL SVS #036333 2313 N CORRAL HOLLOW RD (209) 832-9530 F/T 2 P/T 47 (SP)

ALAMO DENTAL 3057 ALAMO DR (707) 448-8881 F/T 2 (SP, TA)

#021426 U

ALAMO FAM DNTL CARE #010095 3000 ALAMO DR STE 203 (707) 454-3888 F/T 1 P/T 5 (SP) U ALAMO PLAZA DNTL 810 ALAMO DR (707) 469-8188 P/T 1 (TA, SP)

#004927 U

ALL SMILES DENTAL #029121 1241 ALAMO DR STE 11 (707) 447-8289 P/T 1 (SP, CA) U BAYSIDE DENTAL 72 PEABODY RD (707) 450-0732 P/T 1 (SP, KO)

#039351

NUT TREE SMILES DENTRY #039771 110 NUT TREE PKWY (707) 451-8390 F/T 2 P/T 1 (SP) U

TURLOCK U WESTERN DNTL SVS #036310 1111 E TULARE AVE (559) 688-3313 F/T 4 P/T 34 (SP) U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

VACAVILLE DNTL ASSOC #017246 412 CERNON ST STE A (707) 452-0445 F/T 1 (SP, PE, TA, AR) U

HORIZONS DENTAL #034527 1479 YGNACIO VALY RD STE 107 (925) 945-7977 P/T 1 (SP, TA)

WOODLAND SMILES #040062 2041 BRONZE STAR DR STE 100 (530) 662-7592 F/T 1 P/T 1 (SP) U

VALLEJO WESTERN DNTL SVS #036322 791 E MONTE VISTA AVE (707) 359-2211 F/T 3 P/T 83 (SP)

BERDICHEVSKY, DDS #1C9701 120 LA CASA VIA # 105 # VIA (925) 933-9820 F/T 2 (RU) U

YUBA CITY YOLO DNTL PRACTICE #025080 520 COTTONWOOD ST STE 9 (530) 662-8100 F/T 2 (CA, TA, SP) U

ACCESS DENTAL #000066 3400 SONOMA BLVD (707) 554-4000 F/T 3 P/T 17 (SP, PE, TA) U BAYSIDE DNTL PRACTICE #044947 2121 REDWOOD ST STE A (707) 644-7600 F/T 1 U JULIUS MOSLEY II, DDS #137201 2121 REDWOOD ST STE E (707) 558-1660 F/T 1 U SETTY DDS INC #032715 480 REDWOOD ST STE 13 (707) 554-2600 P/T 1 (HI, VI, TA)

SAN MIGUEL DENTAL #008907 1844 SAN MIGUEL DR STE 206 (925) 279-3326 F/T 1 P/T 2 (SP) U SPRING DENTAL 2987 N MAIN ST (925) 930-7770 F/T 1 (SP, PT, PE) WATSONVILLE TIM PATEL, DDS 1818 SAN MIGUEL DR (925) 945-7366 F/T 2 (SP)

#029715 U #002987 U

ACCU DENTAL 40 PENNY LN STE 2 (831) 724-0245 P/T 1 (HI, SP)

#037259

VALLEJO DNTL ASSOC #000798 475 REDWOOD ST STE 30 (707) 643-1714 P/T 1 (PE, TA, SP)

CROSSROADS DENTAL 1951 MAIN ST (831) 761-9500 F/T 1 (SP)

#024019

VISALIA WESTERN DNTL SVS 3587 SONOMA BLVD (707) 557-8000 F/T 3 P/T 84 (SP)

WEST SACRAMENTO WESTERN DNTL SVS 1895 MAIN ST (831) 763-4730 F/T 2 P/T 26 (SP)

SMILECARE-VALLEJO 133 PLAZA DR STE R (707) 557-6245 F/T 3 P/T 8 (TA, SP)

ABC DNTL 2544 S MOONEY BLVD (559) 733-9797 F/T 3 (SP)

#002237

PERFECT DNTL CARE #043949 675 YGNACIO VALLEY RD # B105 (925) 813-0402 F/T 1

#036357

#185601 U

ACME DENTAL 820 WESTACRE RD (916) 371-1500 F/T 1 P/T 1 (PE, SP)

U #036309

#018264 U

BRIGHT NOW! DENTAL #027639 5344 W CYPRESS AVE STE 101 (559) 635-4391 F/T 2 P/T 7 U

DENTISTRY TODAY #014630 1001 JEFFERSON BLVD STE 500 (916) 372-7022 F/T 1 U

COSMETIC TOUCH DNTL #023227 2634 W WALNUT AVE (559) 732-7224 P/T 1 (SP, AM)

SOUTH RIVER DNTL #035874 2455 JEFFERSON BLVD STE 130 (916) 372-8062 F/T 3 (SP) U

#036329

WOODLAND VIVIAN FERNANDEZ, DDS #024308 821 JEFFERSON BLVD (916) 372-3368 F/T 1 (AM, SP, RU)

#036331

COTTONWOOD DNTL #021391 520 COTTONWOOD ST STE 4 (530) 669-6688 F/T 1 (TA, SP, 12, CA, CH) U

WESTERN DNTL SVS 1230 S MOONEY BLVD (559) 624-0503 F/T 4 P/T 40 (SP) WALNUT CREEK WESTERN DNTL SVS 828 S MOONEY BLVD (559) 636-6000 F/T 4 P/T 33 (SP)

A SEKHON DNTL CORP 1170 LIVE OAK BLVD (530) 671-9555 P/T 1

#040639

ACCESS DENTAL 940 COLUSA AVE STE A (530) 755-9900 F/T 5 P/T 13 (HI, SP)

#001493

Northern California Offices (Closed) ANTIOCH MELISSA LEE, DDS #021422 1215 PLUMAS ST STE 1901 (530) 751-7671 F/T 1 (CA, SP) U CLEARLAKE DNTL CARE OF ANTIOCH #0C1001 3432 HILLCREST AVE STE 250 (925) 754-2145 F/T 1 U CLOVIS LAKESHORE DNTL PRAC #002986 15322 LAKESHORE DR STE 104 (707) 994-6050 F/T 1 U CONCORD MICHAEL WARD, DDS #152901 375 BULLARD AVE STE 3 (559) 298-7424 F/T 1 (SP) U DAVIS ROBERT HLAVAC, DDS 2917 SALVIO ST STE B (925) 689-1772 F/T 1 (SP, GE)

#139401 U

FAIRFIELD TWIN PINES DENTAL #015572 1109 KENNEDY PL STE 4 (530) 753-9900 F/T 1 (SP) FOLSOM PARKSIDE DNTL TEAM #076501 1325 TRAVIS BLVD STE D (707) 427-2222 F/T 3 (SP) U FREEDOM SUMMIT DENTAL #159101 25004 BLUE RAVINE RD STE 111 (916) 355-8400 F/T 1 (PE, SP, RU) U

DNTL CRE OF WALNUT CRK #027824 LINCOLN DENTAL #019690 1111 CIVIC DR STE 145 520 COTTONWOOD ST STE 11 (925) 937-9017 (530) 661-9276 F/T 1 P/T 2 (CA, 12, SP) U F/T 2 P/T 1 (SP) U U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

33

FREMONT FAMILY DNTL CENTER 122 THICKET LN (831) 724-6000 F/T 1 (SP)

#155701

JINJUWADIA, DDS #135301 3500 MOWRY AVE STE A (510) 796-1499 F/T 1 (SP, HI)

ROSEVILLE PETALUMA DNTL CARE #031122 1436 PROFESSIONAL DR STE 302 (707) 763-2828 P/T 1 (FR, PE, SP)

MISSION DENTAL #039894 39560 STEVENSON PL STE 218 (510) 494-8856 F/T 1 (HI) U

DREAM SMILES #042818 3984 DOUGLAS BLVD STE 170 (916) 771-0330 F/T 1 U

FRESNO PRECIOUS DNTL CARE #010705 3200 MOWRY AVE STE A (510) 790-7900 F/T 1 (HI, SP, TA)

HEALTHY IMAGE DNTL #0C1701 576 N SUNRISE AVE STE 140 (916) 786-6431 F/T 1 P/T 1 (VI) U

ELITE DNTL MANN DDS #042113 7125 N CHESTNUT AVE STE 107 (559) 797-4355 F/T 1 (SP, HI) U RACHEL JACK, DDS 4747 N 1ST ST STE 113 (559) 225-4540 F/T 1 (SP)

#026573 U

MADERA THOMAS DOWNING, DDS #026570 4747 N 1ST ST STE 113 (559) 225-4540 F/T 2 (SP) U KIMMER YOUNG, DDS #010549 2401 W CLEVELAND AVE (559) 673-4075 P/T 1 (SP, FR, AR) U MODESTO NORTHWEST DNTL CARE #033631 2531 HOWARD RD STE 103 (559) 674-0927 F/T 1 P/T 1 (SP, TA) U MOUNTAIN VIEW PELANDALE DNTL CARE #025873 3900 PELANDALE AVE STE 135 (209) 545-9489 P/T 1 (RU, HI, SP) U CA FAMILY DENTAL #012033 2425 CALIFORNIA ST STE D (650) 967-1389 F/T 1 (SP, HI) CHRISTINE THAI, DMD #009979 2500 HOSPITAL DR BLDG 1 # 5 (650) 961-5070 P/T 1 PACHECO PARKTOWN DNTL CARE #170301 990 BAY ST (650) 968-4000 F/T 1 (SP) U PETALUMA PACHECO FAM DENT 218 CENTER AVE (925) 671-9900 P/T 1

34

MICHAEL HAGLUND, DDS #001978 765 BAYWOOD DR STE 101 (707) 762-5561 F/T 1 U

#145901

SACRAMENTO SIERRA COLDTL PRAC #000667 9290 SRRA COLG BLVD STE 300 (916) 788-8450 F/T 1 (SP, TA, VI) U SAN FRANCISCO LP DNTL CRE LOAN PHAM #017744 6830 STOCKTON BLVD STE 185 (916) 422-5628 F/T 1 (VI) U SAN JOSE SAN BRUNO AVE DNTL 2817 SAN BRUNO AVE (415) 656-2868 F/T 1 (12, SP, CH) BLOSSOM HILL FAM 5058 UNION AVE STE A (408) 559-8668 F/T 1 (VI)

#150101 U #162401 U

COS & GEN DENTISRY #041513 3535 ROSS AVE STE 304 (408) 265-4064 F/T 1 (RU) DANIEL THOMPSON, DDS #207601 5710 CAHALAN AVE STE 5A (408) 281-0500 F/T 1 EVERGREEN VAL DNTL #011864 4868 SAN FELIPE RD STE 120 (408) 528-8303 F/T 1 (HI, VI, TA) IRMA FRANCISCO DDS #002706 4750 ALMADEN EXPY STE N (408) 264-5880 (SP, TA) SAN LEANDRO JOHN TANAKA, DDS #349601 2034 FOREST AVE STE 1A (408) 279-8080 F/T 1 (KO, SP, JA, HI) COREY JANG, DDS #374301 433 ESTUDILLO AVE STE 302 (510) 351-0930 F/T 1 (12, CA, TA, SP, CH) U

SAN MATEO MARGARET YAP, DDS 13770 DOOLITTLE DR (510) 352-3918 F/T 1 (12, TA, CH, SP)

#176001

SANTA CLARA DEEPAK SACHDEV, DDS #001652 1415 S EL CAMINO REAL (650) 573-6500 P/T 1 (HI, SP) APEX FAMILY DENTAL 2797 EL CAMINO REAL (408) 247-4871 F/T 1 (SP, VI, CH)

#017221 U

PAULETTE SANFORD, DDS #028066 310 N WINCHESTER BLVD (408) 241-6501 F/T 1 SANTA ROSA THOMAS PUZIN, DDS #260501 545 SARATOGA AVE STE B (408) 247-5442 F/T 1 (SP) BRIGHT CARE DENTAL #013132 1420 GUERNEVILLE RD STE 2 (707) 578-3776 F/T 1 U SARATOGA MIRABEL CAYCO DDS #042540 2448 GUERNVEVILLE RD #1000 (707) 595-3615 F/T 1 (SP, GE, TA) U STOCKTON SAHANA PRASAD, DDS #024020 12860 SARATOGA SUNNYVALE RD (408) 867-1800 F/T 1 (TA, HI, SP) U COUNTRY CLUB DENTAL #025876 2828 COUNTRY CLUB BLVD STE 9 (209) 478-9999 P/T 2 (RU, SP, HI) U M BERMUDEZ, DMD 221 TUXEDO CT STE D (209) 466-0254 F/T 1 (TA)

#137801

NU SMILE DENTAL 707 E MARCH LN STE 1 (209) 955-1800 F/T 1 (SP, HI)

#013976 U

SUNNYVALE ROLANDO JESUS DMD #042641 1350 W ROBINHOOD DR STE 4 (209) 451-3155 F/T 1 (SP, TA) U ACCU-DENTAL #042906 665 S KNICKERBOCKER DR STE 9 (408) 739-5311 P/T 1 (SP) U PALM BAY DENTAL #002709 1301 SNVL SARATOGA RD # 2 (408) 732-2112 F/T 1 (SP, VI) U

U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

TURLOCK STEPHEN FONG, DDS #0C9501 990 W FREMONT AVE STE S (408) 736-4101 F/T 1 VALLEJO DELBON DENTAL 1060 DELBON AVE (209) 667-2977 P/T 1 (SP, AR)

#023627 U

WALNUT CREEK TRI-CITY DNTL VALLEJO #022896 3630 SONOMA BLVD (707) 643-1987 F/T 1 (SP, TA) U DANIEL R PESTANA, DDS #026993 2255 YGNACIO VALY RD STE J2 (925) 945-8006 F/T 1 (SP) U

Southern California Offices (Open) AGOURA HILLS AGOURA DENTAL #022091 30313 CANWOOD ST STE 36 (818) 735-3800 F/T 1 (PE, GE, SP) AGOURA FAMILY DENTAL #023482 29219 CANWOOD ST STE 250 (818) 991-2626 P/T 1 (PE, TA, SP) U SEA BREEZE DNTL CARE #044928 29525 CANWOOD ST STE 200 (818) 991-9852 P/T 1 (RU, SP) U ALHAMBRA ALHAMBRA FAM DEN #038915 600 W MAIN ST STE 102 (626) 282-4119 F/T 2 U

MONICA BONIADI, DDS #037130 27051 MOULTON PKWY (949) 448-7500 P/T 2 U

CALIFORNIA DNTL 2300 S HARBOR BLVD (714) 750-3030 P/T 2 (SP)

#034491

GUITTA HARB DMD INC #044625 26731 ALISO CREEK RD STE 210 (949) 360-0225 F/T 1 (FR, SP, AR, PE)

CARE DENTAL 3203 W BALL RD (714) 995-3415 F/T 2 (VI)

#021050

COASTAL DNTL CARE 922 S EUCLID ST (714) 776-7015 P/T 2 (SP)

#007875

MORGAN DNTL CORP 26888 B. S. LAPAZ RD (949) 362-5600 F/T 1 (SP)

#036421

ALTA LOMA CARNELIAN FAM DENT #198801 6626 CARNELIAN ST (909) 987-4113 F/T 1 (SP) SMILE BRIGHT DENTAL 8750 19TH ST (909) 483-1177 F/T 2 P/T 1 ANAHEIM 7 DAY DENTAL 2265 W LINCOLN AVE (714) 491-8600 P/T 6 (VI, TA, SP, CH)

#040987 U #013770 U

ANAHEIM COM DEN #013480 435 N STATE COLLEGE BLVD (714) 635-0855 P/T 1 (VI, PE, SP) U ANAHEIM FIRST FAM DEN #256501 1161 N EUCLID ST (714) 999-5050 F/T 1 P/T 1 (SP) ANAHEIM HILLS DNTL #3C2201 5731 A-5701 SANTA ANA CYN RD (714) 998-2956 F/T 1 P/T 2 (SP, PE, VI) ANAHEIM OPEN 7 DAYS #274701 637 N EUCLID ST (714) 772-2893 F/T 1 P/T 6 (AR, TA, PE, SM) U

DRS LEE AND YEE 157 N GARFIELD AVE (626) 284-5113 F/T 3 P/T 1

#051601

JIN ZHANG, DDS 1711 W MAIN ST (626) 308-1711 F/T 1 (12, JA, CH, SP)

#025939

BEACH DNTL CARE #035597 2940 W LINCOLN AVE STE L (714) 995-4000 P/T 1 (KO, SP) U

NADIR YAZDANI, DDS 747 S GARFIELD AVE (626) 289-6815 F/T 2 (PE, SP, EI)

#0C0201

BISHAY DDS INC #038067 2601 W BALL RD STE 101 (714) 995-4444 P/T 1 (SP) U

U

ALISO VIEJO ALL SMILE DNTL #026492 22912 PACIFIC PARK DR STE A (949) 716-6900 F/T 1 (CH, SP) U CLAIRE CHO, DDS 2 MAREBLU STE 200 (949) 831-8826 F/T 1 (PE, KO, SP, TA)

#003821 U

BRIGHT NOW! DENTAL #004784 150 N STATE COLLEGE BLVD (714) 491-8441 F/T 2 P/T 11 (SP, VI) U CA DNTL 140 S FAIRMONT BLVD (714) 974-0054 P/T 1 (SP)

#037147 U

CA DNTL OF N ANAHEIM #008671 1221 N EUCLID ST (714) 491-2732 P/T 1 (SP, VI) U

U

U

CRESCENT FAM DENTAL #041805 522 N MAGNOLIA AVE (714) 828-1415 F/T 1 (KO, SP) DNTL CARE OF ANAHEIM #258301 815 N EUCLID ST (714) 758-0791 F/T 2 P/T 1 (VI, SP, HI) U DNTL HEALTH ANAHEIM #025173 8295 E MONTE VISTA RD STE B (714) 921-9252 P/T 1 (FR, SP, RU, TA, GE, HI, KO) DERRICK BROWN, DDS 853 N HARBOR BLVD (714) 535-2487 F/T 1

#021501

EUCLID DNTL CENTER #030551 1751 W ROMNEYA DR STE D (714) 772-3538 P/T 1 (TA, SP) EXCEL DENTAL 1602 N LEMON ST (714) 525-5558 F/T 1 (VI, CH, SP)

#021442

GENTLE DEN-ANAHEIM #008535 2170 W LINCOLN AVE (714) 535-3933 F/T 1 P/T 2 (SP, RO, PE, VI) U MISTRY DDS INC #1C7301 420 S STATE COLLEGE BLVD (714) 772-0770 F/T 1 (SP, AR) SAEED, DDS INC #013160 710 S BROOKHURST ST STE K (714) 758-0778 F/T 1 (AR, SP) NOEMI TAGUINOD #026769 408 S BEACH BLVD STE 113 (714) 816-0954 F/T 1 (TA, SP) RADIANCE DENTAL #042890 5675 E LA PALMA AVE STE 197 (714) 695-0593 F/T 1 (VI, CH, SP) ROSETTA DIOS DMD 1691 S EUCLID ST (714) 991-7572 F/T 1

#038727 U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

35

SMILE SELECT #352101 8285 E SANTA ANA CANYON RD (714) 974-5599 F/T 1 (SP) SMILECARE-ANAHEIM 1112 N MAGNOLIA AVE (714) 828-1211 F/T 1 P/T 17 (SP)

#002252

SMILES FOR ORANGE 9672 BALL RD (714) 772-0102 F/T 1 (SP)

#235001

STATE COLLEGE DNTL #003047 330 N STATE COLLEGE BLVD 105 (714) 772-5005 P/T 4 (SP, VI) U SUNKIST DNTL OFFICE #014097 2500 E BALL RD STE 150 (714) 533-9670 P/T 1 (HI, SP) U UNIVERSAL CARE DENTAL #1C0301 710 S. BROOKHURST AVE, STE 0 (714) 780-5665 F/T 4 P/T 7 (VI, SP, TA) U VILLAGE DENTAL #027334 1210 S BROOKHURST ST (714) 535-7500 F/T 1 P/T 1 (SP, AR) U WESTERN DNTL SVS INC #042526 1696 W KATELLA AVE (714) 635-6000 F/T 1 P/T 9 (SP) YOUROCDENTIST.COM 1116 N EUCLID ST (714) 635-0855 F/T 1 (PE, VI, SP)

#044688 U

APPLE VALLEY APPLE VALLEY DTL ASSOC #009147 20162 US HIGHWAY 18 STE L (760) 946-1466 P/T 1 (KO, SP)

#036527

ARCADIA ARCADIA DNTL CENTER #196501 440 E HUNTINGTON DR STE 101 (626) 447-5126 F/T 1 P/T 1 (12, KO, SP, PE) U

#029595 U

DRS CHENG & KIM #017483 1043 W HUNTINGTON DR (626) 445-9660 F/T 1 P/T 1 (KO, SP) U

EGARI DNTL OFFICE #013262 18011 PIONEER BLVD # C (562) 402-4492 F/T 1 (PE, SP)

FRANK WU DENTISTRY #038585 515 S 1ST AVE (626) 447-1568 F/T 1 (12, CA, CH)

SARAH CUPINO, DMD 12146 SOUTH ST STE E (562) 924-1007 F/T 1 (TA, SP)

JASON GEE DDS INC #029181 638 W DUARTE RD STE 9 (626) 447-7877 F/T 1 (SP, VI, CA)

SIOE HWA ONG DDS INC #112201 17906 PIONEER BLVD STE 100 (562) 860-9612 F/T 1 P/T 1 (IN, SP, TA) U

KAI WU, DDS INC #011037 906 S BALDWIN AVE (626) 462-9890 F/T 1 (12, CH, TA, SP, JA)

AZUSA ANGELA HOFFMAN, DDS #011613 483 S CITRUS AVE (626) 966-3400 F/T 1 (RU, SP) U

LIVE OAK DENTAL #026090 288 E LIVE OAK AVE STE C (626) 898-0008 P/T 1 (SP, TA) MARC ROJTMAN, DDS #021394 301 W HUNTINGTON DR (626) 445-3550 F/T 1 (FR, SP) OMID FARAHMAND, DMD #040824 25 N SANTA ANITA AVE STE E (626) 254-1948 P/T 1 (SP, PE)

DESERT DNTL #024165 19195 OUTER HWY 18 STE 201 (760) 242-0796 F/T 1 P/T 2 (TA)

ARLETA OSBORNE DNTL OFF INC #002852 13205 OSBORNE ST STE F (818) 890-2426 F/T 1 (SP, PE) U

PARKWAY DNTL #023235 20258 US HIGHWAY 18 STE 400 (760) 646-8839 F/T 1 P/T 2 (SP) U

DR MOY DDS INC 11747 SOUTH STREET (562) 865-3635 F/T 1 (CA, SP)

#042287

EASTERN DNTL FAMI #005611 11660 SOUTH ST STE 108 (562) 402-8166 F/T 1 (SP, KO, TA) U

SANTA ANITA DNTL #018884 721 W HUNTINGTON DR STE B (626) 574-1766 F/T 1 P/T 1 (SP, AM) U

SAYED, DDS INC #028934 18805 BEAR VALLEY RD STE 4 (760) 961-7001 F/T 1 (SP, AR)

ARTESIA AARTI SHAH DDS INC 17613 PIONEER BLVD (562) 809-8482 P/T 1 (SP, HI)

ARCADIA DNTL #028125 111 E LIVE OAK AVE (626) 445-1181 F/T 1 P/T 2 (CA, CH, SP, AM, PE, 12, VI)

APPLE VALLEY SMILES #022889 12218 APPLE VLY RD BLG1 110 (760) 300-3678 P/T 3 (SP) U

GNTL DNTL APPLE VALLEY #008689 18245 US HIGHWAY 18 STE 4 (760) 242-2977 F/T 3 P/T 3 (SP)

36

SUNBURST DENTAL 17995 HWY 18 #2 (760) 946-5200 F/T 1 (SP)

#000733 U

APPLE DENTAL #002012 891 E ARROW HWY STE B (626) 332-4788 F/T 1 (SP) BRIGHT NOW DENTAL 810 E ALOSTA AVE (626) 804-2144 P/T 7 (CH, SP)

#033796 U

CANYON CITY DNTL CARE #017992 706 N AZUSA AVE (626) 334-7310 F/T 1 (SP) U JAMES AHN, DDS INC 315 E GLADSTONE ST (626) 969-6728 F/T 1 (SP)

#012598

NOBLE DNTL OFFICE 590 E FOOTHILL BLVD (626) 969-1116 P/T 1 (HI, SP)

#022978

SIMA BOOSTANFAR, DMD #000223 9069 1/2 WOODMAN AVE (818) 893-8799 F/T 1 P/T 1 (SP, PE)

ST JOHN DENTAL 910 E GLADSTONE ST (626) 332-3000 P/T 1

#045234

WOODMAN FAM DENT #198601 8725 WOODMAN AVE (818) 891-6670 F/T 1 (SP)

BAKERSFIELD 17TH STREET DNTL CARE #028007 1621 17TH ST (661) 631-0529 P/T 1 U

U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

BAKERSFIELD DNTL #012136 5120 STOCKDALE HWY STE D (661) 324-5442 F/T 3 (SP)

MILLENNIUM DNTL CNTR #033092 1830 28TH ST (661) 326-8536 P/T 2 (AR, SP)

SAN JOSE YOUNG DNTL #031357 14514 RAMONA BLVD STE 1 (626) 337-4700 F/T 1 (KO, SP) U

BHASKAR JOSHI, DDS INC #013485 2519 RIVER BLVD (661) 873-9632 F/T 1 (HI, SP)

RIVER LAKES DNTL #012986 9510 HAGEMAN RD STE B (661) 829-2700 F/T 3 P/T 1 (VI) U

WEST COAST DNTL #044357 4000 LA RICA AVE STE D (626) 430-9171 P/T 2 U

BRILLIANT DENTAL #036576 2701 MING AVE AVE#221 (661) 369-8910 F/T 1 (SP, TR)

RIVER LAKES DNTL #045529 9510 HAGEMAN ROAD STE B (661) 829-2700 P/T 5 (SP) U

CENTENNIAL DNTL CLINIC #020011 201 CHINA GRADE LOOP (661) 393-4333 P/T 2 (SP, AR)

REDELSPERGER, DDS 2106 20TH ST (661) 324-6053 F/T 1 (SP)

#013335

BANNING DNTL WORKS #004205 6350 W RAMSEY ST STE A (951) 769-0466 F/T 1 (SP)

DEDICATED DNTL VALLEY #014146 9600 ROSEDALE HWY (661) 589-5248 F/T 1 P/T 2 (SP) U

SIAN POH, DDS 2721 H ST (661) 324-9709 F/T 1 (SP, CH)

#164101

DEDICATED DNTL VALLEY #014147 8200 STOCKDALE HWY STE M9 (661) 834-9042 F/T 3 P/T 2 (KO, SP) U

SMILECARE-BAKERSFIELD #002973 2750 MING AVE (661) 396-1701 F/T 4 P/T 5 (SP) U

DEDICATED DNTL VALLEY #014152 3150 PANAMA LN STE H (661) 396-0156 F/T 2 P/T 5 (SP, RU) U

STOCKDALE SMILES #045321 11120 STOCKDALE HWY STE#103 (661) 665-0080 P/T 1

BARSTOW DR SALMAN DENTAL 927 ARMONY RD (760) 252-4488 P/T 1 (SP, AR) PROCARE DNTL GRP 1232 E MAIN ST (760) 256-1189 F/T 1 (SP, TA) BEAUMONT BEAUMONT DNTL 930 BEAUMONT AVE (951) 845-2200 P/T 2 (FR, SP, HI)

#036281

#023375

#023900 U #014131

#042486

U

WESTERN DNTL SVS 4401 MING AVE (661) 397-7400 F/T 3 P/T 11 (SP)

MARTINEZ & DR. PHAM #035303 2330 TRUXTON AVE, STE#B (661) 831-8042 F/T 1 (VI, SP)

WESTERN DNTL SVS 1201 24TH ST STE #A (661) 431-1120 P/T 13 (SP)

#042487

BEAUMONT SMILES DNTL #026912 1620 E 2ND ST STE A (951) 769-9131 F/T 1 P/T 1 U

WESTERN DNTL SRVS 3401 COFFEE RD STE A (661) 587-3512 F/T 3 P/T 9 (SP)

#042519

BRYANT, DDS INC 1080 BEAUMONT AVE (951) 845-7300 P/T 1 (SP)

DEDICATED DNTL CA 3400 WIBLE RD (661) 835-8672 F/T 3 P/T 1 (KO, SP)

EAST HILLS FAM DENT 2600 OSWELL ST STE F (661) 871-4132 P/T 1 (TA, SP)

#040536

WESTERN DNTL SVS 887 W RAMSEY ST (951) 849-3214 F/T 5 P/T 38 (SP)

#020938

F M HANNA, DDS #017290 3809 SAN DIMAS ST STE A (661) 322-7696 P/T 1 (AR, SP) G ST FAM DENTAL 2611 G ST (661) 859-0192 F/T 1

#1C5601

GOSFORD VILLDNTL #043525 5353 GOSFORD RD STE 103 (661) 588-2065 P/T 2 (SP) U HOME CARE DENTAL 5917 NILES ST # 3 (661) 366-6527 F/T 1 P/T 1

#020014

MERCY PLAZA DNTL #020863 500 OLD RIVER RD STE 225 (661) 663-0109 F/T 2 (SP, GE, RU, AM)

BELL BELL DENTAL! 6633 ATLANTIC AVE (323) 773-1000 F/T 2 P/T 6 (SP)

BALDWIN PARK ANTRANIG KELLEYAN, DDS #038293 13734 RAMONA BLVD (626) 960-6616 P/T 1 (SP) BALDWIN PARK FAMILY DENTAL #029898 13020 FRANCISQUITO AVE STE 7 (626) 962-9474 F/T 1 (KO, SP) PRAKASH PATEL, DDS #000313 4138 MAINE AVE STE N3 (626) 960-6395 P/T 1 (SP) RAMONA FAM DENT 14325 RAMONA BLVD (626) 962-6814 F/T 1 (KO, SP)

#003988 U

U

#038139

#013437 U

BELL PLAZA DNTL CENTER #021478 6343 ATLANTIC AVE STE C (323) 771-7226 F/T 1 (PE, SP) U DNTL & IMPT CARE CNTR #023646 4203 GAGE AVE (323) 312-0500 P/T 1 (SP, PE, AR) DENTALVILLE 5021 FLORENCE AVE (323) 560-1508 P/T 1 (SP, TA, VI)

#023309 U

DESAI-GAGE FAM DNTL #013144 4127 GAGE AVE (323) 773-2931 F/T 2 (SP) U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

37

KAMRAN HAKIM, DDS 6334 ATLANTIC AVE (323) 560-3646 P/T 1 (SP)

#012292

#017530 U

ST. MARY & ST. GEORGE #026856 6905 1/2 ATLANTIC AVE (323) 773-5029 F/T 1 (RU, SP, PE) U

UNIVERSAL CARE DENTAL #1C0901 17660 LAKEWOOD BLVD (562) 461-1180 F/T 3 P/T 10 (TA, VI, SP) U

BELL GARDENS JIN WEI CHU, DDS 6526 EASTERN AVE (323) 771-3949 F/T 2 (SP)

BEVERLY HILLS HOFFMAN, DDS INC #036508 9735 WILSHIRE BLVD BLVD#325 (310) 271-1337 P/T 1 (SP)

#372001

MARKETPL DNTL OFF #328401 6815 EASTERN AVE STE A1 (323) 560-2595 P/T 1 (PE, SP) U

BEDFORD DNTL 432 N BEDFORD DR (310) 278-2424 F/T 1 (GE, PE, SP, IT)

NEW MILLENNIUM DNTL #016811 4021 FLORENCE AVE (323) 560-6096 P/T 1 (SP, AM) U

BEVERLY HILLS COS DNTL #005483 9400 BRIGHTON WAY STE 309 (310) 273-7397 F/T 1 P/T 1 (RU, SP)

BELLFLOWER BELL DNTL CARE #036254 16106 BELLFLOWER BLVD (562) 920-9220 F/T 1 (VI, SP, KO) U

DAVID ABRI DDS INC #019891 50 N LA CIENEGA BLVD STE 217 (310) 275-0032 P/T 1 (TA, SP, PE, RU, AM) U

BELLFLOWER DENTAL #019923 17615 LAKEWOOD BLVD (562) 408-1447 F/T 2 P/T 7 (SP) BELLFLOWER FAM DTL #359701 17019 BELLFLOWER BLVD (562) 866-9739 F/T 1 (SP, HI) CALIFORNIA DNTL #023824 10106 ALONDRA BLVD # A (562) 867-5117 P/T 1 (SP, KO) COMPLETE DNTL CARE 10249 ARTESIA BLVD (562) 461-8000 P/T 1 (CA, SP)

#042573 U

GERALD SANDARG, DDS #185501 17024 CLARK AVE STE C (562) 925-7436 F/T 1 (SP) JOHN LIM, DMD 10120 ALONDRA BLVD (562) 920-6644 F/T 1 (TA, SP)

#329301

ROSECRANS DNTL 9222 ROSECRANS AVE (562) 272-0222 P/T 6 (VI, SP)

#003208

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U

SMILE CENTER DNTL #010634 16537 BELLFLOWER BLVD STE B (562) 866-7073 P/T 1 (SP, PE) U SMILECARE-BELLFLOWER #004481 17240 DOWNEY AVE (562) 531-0221 F/T 1 P/T 11 (SP)

38

SOMERSET DENTAL 9426 SOMERSET BLVD (562) 925-3735 P/T 1 (SP, CH)

#018257 U

DNTL 90210 #042987 416 N BEDFORD DR STE 103 (310) 278-9624 P/T 2 (SP) U DNTL OF BEVERLY HILLS #146801 250 N ROBERTSON BLVD STE 412 (310) 271-3003 F/T 1 P/T 1 (PE, SP, AM) U DNTL OF BEVERLY HILLS #003545 99 N LA CIENEGA BLVD STE 300 (310) 289-1818 P/T 1 (PE, SP, AM, TA) U JJP DENTAL #021771 435 N BEDFORD DR STE 108 (310) 276-2009 F/T 1 (PE) KAMBIZ KASHFIAN, DDS #305001 50 N LA CIENEGA BLVD STE 206 (310) 659-7949 F/T 1 MASHHOOD, DDS #016568 8500 WILSHIRE BLVD STE 602 (310) 289-1101 P/T 1 (TA, IT, PE, TR) U PACIFIC DNTL CARE #363001 9025 WILSHIRE BLVD STE 315 (310) 274-7485 F/T 1 P/T 1 (SP, AM) U SMILE ANGELS/BEVLY HLS #026347 8500 WILSHIRE BLVD STE 709 (310) 201-9001 F/T 1 (SP, PE) U GOLDY & ASSOC #255201 416 N BEDFORD DR STE 409 (310) 550-1511 F/T 1 (SP)

BLOOMINGTON JACK ACKERMAN, DDS #370001 993 W VALLEY BLVD STE 103 (909) 877-3660 F/T 1 (SP) U BONITA BONITA FAMILY DENTAL #013283 4424 BONITA RD (619) 479-8703 F/T 2 P/T 1 (SP, TA, HI, RU) BORREGO SPRINGS WOOLCOTT DENTAL #043006 590 PALM CANYON DR STE 212 (760) 767-5112 F/T 1 BREA BERRY IMPERIAL DNTL #1C4801 649 W IMPERIAL HWY STE H (714) 529-1232 F/T 1 (HI, SP, CH) U BREA DNTL ARTS #025702 710 N BREA BLVD STE E (714) 529-8558 P/T 2 (CA, CH, SP) BREA DNTL 503 E IMPERIAL HWY (714) 672-9000 F/T 1 P/T 1 (SP, VI, AR)

#007310 U

BREA DEN & ORTHO #040105 2500 E IMPERIAL HWY STE 120 (714) 990-2299 F/T 1 (SP) U BRIGHT NOW DNTL BREA #035011 101 W IMPERIAL HWY STE E (714) 988-1000 P/T 12 (SP) NGUYEN DDS INC 552 E LAMBERT RD (714) 990-3344 P/T 1

#039541

COS & DNTL IMPL 782 N BREA BLVD (714) 257-0330 P/T 1 U

#040782

U

IMPERIAL DNTL CARE #3C1501 200 E IMPERIAL HWY (714) 671-9999 F/T 1 P/T 1 (FR, VI, HI, SP) KAREN KOO DDS 936 E IMPERIAL HWY (714) 990-4911 F/T 1 P/T 1

#041994

SHEENA BHATIA, DDS #025689 151 S KRAEMER BLVD STE C1 (714) 257-9200 F/T 1 (HI, SP) U SIGNATURE DENTAL #042874 1770 E LAMBERT RD STE 200 (714) 255-9700 P/T 1 U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

BUENA PARK ALL SMILES DENTAL 7938 VALLEY VIEW ST (714) 670-7657 P/T 1 (SP, CH, TA) FOROUTAN DNTL CORP 8951 KNOTT AVE STE L (714) 826-4181 F/T 1 (PE, SP)

#036557 U #012353

MONA FAHMY, DDS #001687 8402 COMMONWEALTH AVE (714) 739-2051 F/T 1 (SP, VI, AR, FR) DHOLAKIYA & ASSO #029969 7011 ORANGETHORPE AVE # 100 (714) 994-4482 P/T 2 (HI, SP) U PLAZA DNTL CARE 8575 KNOTT AVE STE A (714) 761-8575 F/T 1 (SP, KO)

#015660 U

PRIME DNTL CARE #042829 7540 ORANGETHORPE AVE STE C4 (714) 522-4445 F/T 1 (KO, SP) U ST THERESE FAM DENT #157001 6891 LA PALMA AVE (714) 994-6911 F/T 1 (SP, TA) VALLEY VIEW DENTAL 10102 VALLEY VIEW ST (714) 229-4898 P/T 1 (GE, RU, SP, HI)

#023298

WEST COAST DENTAL 8381 LA PALMA AVE (714) 228-9990 P/T 3 (SP, 12, CH)

#014631

WESTERN DNTL SVS 5971 LINCOLN AVE (714) 995-3976 F/T 3 P/T 41 (VI, SP)

#036324

U

U

BURBANK BOYAJIAN/BARDAKJIAN #024660 3808 W RIVERSIDE DR STE 307 (818) 861-7840 F/T 2 (AR, AM, RU, SP) U BURBANK VILL DENT 928 N S F BLVD STE E (818) 841-8607 F/T 1 (SP, RU, AM)

#035522 U

BURBANK/GLENDALE #013523 500 E OLIVE AVE STE E430 (818) 567-4662 P/T 2 (PE, SP, AM) U BURBANK/GLENDALE #013438 216 E ALAMEDA AVE (818) 848-3026 P/T 1 (RU, AM, PE, TA, SP) U CASTLE DNTL CENTER #015675 140 N VICTORY BLVD STE 101 (818) 841-1634 F/T 4 P/T 9 (SP) U

EMPIRE DNTL #011528 1635 N VICTORY PL (818) 565-0057 F/T 1 P/T 1 (PE, SP, AM) U

DOUGLAS R DILL, DDS 2107 PICKWICK DR (805) 445-1333 F/T 1 (SP)

#028899

GEORGE VALDEZ DDS #039401 421 E ANGELENO AVE STE 101 (818) 846-7072 F/T 1 (SP)

FARID SEHATI DDS INC 484 MOBIL AVE STE 33 (805) 482-9568 F/T 1 (PE, SP)

#285401

GREEN CA GP #038284 1822 W BURBANK BLVD (818) 238-9700 F/T 1 (SP, AM, RU)

LAS POSAS DNTL CARE #003118 3901 LAS POSAS RD STE 209 (805) 383-6745 F/T 1 (VI, CH, SP, 12)

LUBICK, DDS, MD #022119 500 E OLIVE AVE STE 440 (818) 848-5591 F/T 1 (TA) U

MISSION OAKS DNTL #017291 4900 VERDUGO WAY STE A (805) 484-7277 P/T 2 (SP) U

HI CARE DENTAL 354 E ANGELENO AVE (818) 846-4206 F/T 1 (SP)

#017782

PALM DNTL CARE 2177 VENTURA BLVD (805) 388-1048 P/T 1 (SP, PE)

U

U

#041958 U

JOHN YEKIKIAN, DDS #236001 2601 W ALAMEDA AVE STE 406 (818) 843-7841 F/T 1 (PE, AM, SP)

TRENT/TORGERSEN, DDS #018205 484 MOBIL AVE STE 31 (805) 484-1221 F/T 2 (SP) U

LOUIS MO, DDS #011035 500 E OLIVE AVE STE 460 (818) 846-3181 F/T 1 (SP) U

CANOGA PARK 101 DNTL #037718 7259 OWENSMOUTH AVE (818) 999-9900 P/T 1 (SP, GE)

RENE GHOTANIAN, DDS #0C4301 500 E OLIVE AVE STE 250 (818) 846-2600 F/T 1 P/T 1 (SP, AM) SAN GABRIEL SUM DNTL #000082 255 E ORANGE GROVE AVE STE B (818) 557-0964 F/T 1 (SP, TA) TOLUCA LAKE DENTAL #012934 3808 W RIVERSIDE DR STE 408 (818) 842-4019 F/T 1 (TA, PE, AM, SP) U VIGEN ALIKHANIAN, DDS #022062 3927 W BURBANK BLVD (818) 845-0900 F/T 1 (RU, AM, SP) CALABASAS CALABASAS DNTL #356501 26500 AGOURA RD STE 115 (818) 871-0680 F/T 1 (PE, SP) U CALEXICO CLINICAS DE SALUD PUEBLO #043303 223 W COLE BLVD (760) 357-2748 F/T 1 P/T 2 CAMARILLO CAMARILLO DNTL #198701 2380 LAS POSAS RD STE A D (805) 388-9110 F/T 1 P/T 1 (SP) U

ANGEL SMILE DNTL #038212 7300 TPNG CYN BLVD BLVD#6 (818) 884-4422 F/T 1 (SP) U MANSSOURIAN DMD #042288 22030 SHERMAN WAY STE 204 (818) 716-5512 F/T 1 (PE, AM, SP, IT) U COSMETICARE 21123 VICTORY BLVD (818) 888-2700 P/T 1 (SP, FR, AR, AM)

#027937

KISHORE SHAH, DDS #375401 21001 13 SHERMAN WAY (818) 346-7032 P/T 2 (SP, TA) U GARMESTANI, DDS #017243 22030 SHERMAN WAY STE 317 (818) 610-2007 F/T 1 (SP, PE) U MED CNTR DNTL CARE #010791 8300 VALLEY CIR BLVD STE B (818) 348-6068 P/T 1 (SP) U OMEGA DNTL 21712 SHERMAN WAY (818) 883-6634 F/T 1 (HE, SP, PE)

#025572 U

SINAI DNTL CLINIC #002858 7257 VASSAR AVE STE 203 (818) 251-9794 F/T 1 (SP, TR, PE)

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

39

VALLEY CIRCLE FAM DNTL #021479 23727 ROSCOE BLVD (818) 888-8824 P/T 1 (TA, PE, SP) U

SCOTT S. PETERS DDS #040206 2588 EL CAMINO REAL STE H (760) 729-2348 F/T 1 (SP) U

#041057

CARSON A1 CARE DNTL CENTER #023873 602 W SEPULVEDA BLVD (310) 830-3338 P/T 1 (SP, KO) U

WARNER DNTL CARE 21632 SHERMAN WAY (818) 999-6979 F/T 2 (SP, AM)

WEST VALLEY DENTAL #2C4801 6543 TOPANGA CANYON BLVD (818) 883-7979 P/T 1 (SP) WHITE SMILE DNTL #003624 22030 SHERMAN WAY STE 202 (818) 887-0260 P/T 2 (SP, TA, AM, HE, PE) U CANYON COUNTRY ANNA LIBERMAN, DDS #146601 18507 SOLEDAD CANYON RD (661) 252-0020 F/T 2 (RU, SP)

CARSON DNTL CARE 240 W CARSON ST (310) 549-5580 F/T 1 P/T 1 (TA, SP)

#022146

FAMILY DNTL CENTER 22813 FIGUEROA ST (310) 549-3717 F/T 1 (SP, AR)

#363701

SMILES DNTL #031240 18520 SOLEDAD CANYON RD (661) 252-2800 P/T 1 (AM, SP, RU) U

GREAT CHOICE COM DENT #032945 247 W CARSON ST (310) 847-7077 P/T 1 (SP, TA) U

CARLSBAD CARLSBAD DNTL ASSOC #040894 5814 VAN ALLEN WAY STE 220 (760) 918-9000 P/T 1 U

HYACINTH EZEANI, DDS #014861 20763 AVALON BLVD (310) 719-1865 P/T 1 (SP) U

CARLSBAD ESTH DENT #043595 3144 EL CAMINO REAL STE 103 (760) 434-9800 F/T 1 (PE, SP) U CARLSBAD FAM DENT #045527 2010 CASSIA RD STE 110 (760) 930-8900 P/T 1 (SP, RU) U EXCEL DNTL & IMPL CNTR #040282 7740 EL CAMINO REAL STE C (760) 634-2244 F/T 1 (PE, SP, HI, AR) U FORUM FAMILY DENTAL #038342 1905 CALLE BARCELONA STE 229 (760) 753-6786 P/T 1 (VI) U GATEWAY DNTL #029516 2635 GATEWAY RD STE 101 (760) 431-8112 P/T 3 (SP) U

40

CARE DNTL CENTER #042277 23517 MAIN ST STE 106 (310) 513-0222 P/T 1 (SP, TA, AM) U

JAUBIN NGUYEN, DDS 1754 E CARSON ST (310) 518-7068 F/T 1 (SP)

#012343

JUDINA MORALES, DDS #024658 20401 AVALON BLVD STE A (310) 217-1507 F/T 1 (TA, SP) TOLENTINO, DMD INC #013256 860 E CARSON ST STE 106 (310) 522-9769 F/T 2 P/T 1 (TA, SP) U RANDOLPH LUM, DDS 21847 AVALON BLVD (310) 549-9710 F/T 1 (TA, CA, CH, SP)

#002545

SMILECARE-DEL AMO 550 E DEL AMO BLVD (310) 515-5672 F/T 5 P/T 5 (SP, TA, PE)

#003953

U

U

GENTLE DNTL CARLSBAD #030035 2620 EL CAMINO REAL STE A (760) 720-0966 F/T 2 P/T 1 (TA) U

CASTAIC CASTAIC DNTL CENTER #038027 31886 CASTAIC RD (661) 257-2300 F/T 2 (HI, SP) U

JOSE M SOSA, DDS INC #034328 1850 MARRON RD STE 108 (760) 730-0168 F/T 1 (SP) U

HASLEY CANYON DNTL #012356 29655 THE OLD RD (661) 702-8338 P/T 1 (SP, PE) U

CATHEDRAL CITY CENT MED CATHEDRAL CT #043013 69175 RAMON RD BLDG A (760) 321-6776 F/T 1 (SP) PRECISION DENTISTRY 68860 RAMON RD (760) 324-1618 F/T 1 (TA, SP, AR)

#043368

PURE DENTAL 69420 RAMON RD (760) 202-1171 F/T 1 (SP)

#1C3501

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CERRITOS BLOOMFIELD DNTL CNTR #184301 12657 166TH ST (562) 926-6502 F/T 1 (AR, SP) U CERRITOS CTR DNT #033096 17550 BLOOMFIELD AVE STE C (562) 809-4464 P/T 2 (SP, 12, TH, TA, KO, CH) U LAKEWOOD CERRITOS DTL #035083 11135 183RD ST (562) 804-2296 P/T 3 (KO, VI, PE, SP, HI, TA) U PAUL KIM, DMD #013210 11900 SOUTH ST STE 122 (562) 809-6177 F/T 1 (KO, SP) U PETER KIM DDS PC 11899 DEL AMO BLVD (562) 402-4411 F/T 1 (KO, SP) CHATSWORTH DEVONSHIRE PL DNTL 10230 CANOGA AVE (818) 341-8400 F/T 1 FUTURE DNTL CARE 10242 CANOGA AVE (818) 882-5252 P/T 1 (AM, AR, SP)

#041715 U #284101

#027864

GENUINE DNTL CARE #013804 10233 TOPANGA CANYON BLVD (818) 772-5187 P/T 1 (SP, VI) U TOPANGA DENTAL 9800 T C B BLVD STE J (818) 576-0600 F/T 1 (SP, TA) CHINO KAVORINOS, DDS 12604 CENTRAL AVE (909) 591-1745 P/T 1

#042503 U #031701

BRIGHT SMILE DNTL #016554 12345 MOUNTAIN AVE STE O (909) 364-1330 F/T 1 (HI, SP) U

PLAZA FAMILY DENTAL #021918 2630 EL CAMINO REAL (760) 434-1761 F/T 1 P/T 1 (SP) U U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

CHINO SMILES DNTL 6961 SCHAEFER AVE (909) 590-0640 P/T 2 (SP)

#026852

FAMILY DNTL CENTER 5436 RIVERSIDE DR (909) 465-5551 F/T 1 (SP)

#367601

U

GALVAN FAM DENT INC #002337 4514 PHILADELPHIA ST STE A (909) 465-1016 P/T 1 (SP, TA) U PRIORITY DNTL #043660 4673 RIVERSIDE DR STE D (909) 627-7977 F/T 1 (PE, SP) SMILECARE-CHINO 12233 CENTRAL AVE (909) 628-0208 F/T 5 P/T 17 (SP)

#003968 U

UPLAND DNTL & ORTHO #014596 14335 PIPELINE AVE STE A (909) 902-0800 P/T 2 (CH, CA, SP) U CHERUKURI DDS INC 12850 10TH ST STE B2 (909) 627-6699 F/T 1

#045176

WILLIAM VALDEZ, DDS 4129 RIVERSIDE DR (909) 591-9211 F/T 1 (SP)

#327401

CHINO HILLS CHINO HILLS DNTL 3410 GRAND AVE STE F (909) 364-0001 F/T 5 P/T 2 (SP)

U

OTAY LAKES DNTL #040892 2060 OTAY LAKES RD STE 230 (619) 656-1865 F/T 1 (CH, SP, KO) U

CHULA VISTA AFFINITY DNTL OF SO BAY #036606 290 LANDIS AVE STE A B (619) 691-0121 F/T 1 (SP, TA) U

PALOMAR DNTL #008781 664 PALOMAR ST STE 1103 (619) 429-3948 F/T 1 P/T 1 (VI, SP)

BONITA SMILES DENT 1558 E H ST STE B (619) 421-9070 F/T 2 (FR, SP, PE)

#018204

CALIFORNIA SMILES 215 3RD AVE (619) 427-7070 F/T 3 (SP, TA, VI)

#024548

CANYON VISTA DNTL 700 OTAY LAKES RD (619) 421-8474 F/T 1 P/T 1 (SP)

#044620

CARMEN LOPEZ, DDS 2648 MAIN ST STE A (619) 423-5200 F/T 1 (SP, TA)

#030417

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U

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CHULA VISTA DNTL #034615 1177 BROADWAY STE 19 (619) 409-1400 F/T 1 P/T 1 (TA, SP) U DNTL CHECK UP 1010 BROADWAY STE 5 (619) 422-0800 P/T 1 (SP)

#012043

U

DENTICENTER #322301 AVE CIRCUTTO BURSATIL9031202 (619) 428-0690 F/T 1 (SP)

CHINO HILLS DNTL #004765 2983 CHINO AVE STE A5 (909) 628-7000 F/T 1 (KO, SP)

GENTLE DNTL CHULA VISTA #0C1801 345 F ST STE 140 (619) 476-1001 F/T 1 P/T 2 (SP, TA)

DNTL ASSOC CHINO HILLS #039445 2140 GRAND AVE STE 265 (909) 464-8181 P/T 3 U

GNT DNTL CHULA VISTA #003157 301 3RD AVE (619) 476-1444 F/T 1 P/T 1 (SP, TA, PE, CH, HI)

DNTL CRE OF CHINO HILLS #031829 3280 CHINO HILLS PKWY STE 4 (909) 606-9907 P/T 1 (SP, HI, TA) U

MARIA VALES, DMD 88 E BONITA RD STE F (619) 427-2646 F/T 1 (TA)

#006103

PEYTON DENTAL #037057 3110 CHINO AVE STE 240 (909) 464-2682 F/T 1 U

ZUNIGA, DDS INC 1287 3RD AVE STE 201 (619) 422-3473 F/T 1 (SP)

#011788

PINE CENTER DNTL 5771 PINE AVE STE S (909) 597-2477 F/T 3 (SP, PE)

#003117

TINA CHO DMD #029280 14270 CHINO HILLS PKWY STE D (909) 590-2229 P/T 1 (KO, SP)

#029176

SMILE SAVVY DNTL CARE #005674 14676 PIPELINE AVE STE Q (909) 393-3180 F/T 1 (TA, TH, SP, VI, KO)

U

MEIGS FAMILY DENTAL #026776 1040 TIERRA DEL REY STE 209 (619) 656-9713 F/T 1 P/T 1 (SP) OTAY LAKES DNTL CARE #018811 945 OTAY LAKES RD STE H (619) 397-5888 F/T 1 (TA, SP) U

PERFECTA DNTL 314 PALOMAR ST (619) 498-3888 F/T 2 (CH, SP, VI)

#012721

SAMUEL HAYATT DMD #040221 2260 OTAY LAKES RD STE 110 (619) 482-5555 F/T 1 U SMILE SAN DIEGO #031635 585 TELEGRAPH CANYON RD (619) 421-7010 F/T 3 P/T 1 (SP) SMILECARE-CHULA VISTA #004078 510 BROADWAY STE 4&5 (619) 476-9400 F/T 5 P/T 7 (SP) U TWIN OAKS FAM DENT #009447 230 F ST STE D (619) 427-5262 F/T 1 (12, GE, SP, TA, PE, FR, IT, CH) VILLAGE DNTL #021040 878 EASTLAKE PKWY STE 1511 (619) 739-4936 F/T 1 P/T 1 (SP) U CITY OF INDUSTRY WALNUT SMILES #025605 21750 VALLEY BLVD STE C (909) 595-0807 P/T 1 (KO, HI, SP) U CLAREMONT NEWPORT DENTAL 406 AUTO CENTER DR (909) 624-6199 F/T 3 P/T 6 (CH, SP, VI) COLTON COLTON DNTL 251 E VALLEY BLVD (909) 825-0545 P/T 1 (SP, HI)

#012593

#033235 U

DNTL ASSO OF COLTON #349201 1080 E WASHINGTON ST STE B (909) 783-9099 F/T 1 (CH, SP) U ST PATRICK DNTL CLINIC #368501 1200 E WASHINGTON ST STE F2 (909) 422-0885 P/T 2 (SP, TA) U COMPTON LINDA ONYEADOR, DDS #025979 555 W COMPTON BLVD STE 103 (310) 762-9292 F/T 1 (SP)

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

41

SANG CHO, DDS #002787 402 S LONG BEACH BLVD (310) 637-6187 F/T 1 (KO, TA, SP) U

JOSEPH RAJABI, DDS #001604 900 S MAIN ST STE 107 (951) 734-4170 P/T 1 (SP, PE) U

GENTLE DENTAL #030101 2000 HARBOR BLVD STE B100 (949) 645-5070 F/T 3 P/T 2 (SP, PE, CH, TA, TR) U

WESTERN DNTL SVS #036307 1821 N LONG BEACH BLVD (310) 639-4300 F/T 13 P/T 30 (TA, KO, SP)

LITA HERMANSJAH, DDS #015150 916 W 6TH ST (951) 738-1749 F/T 1 (SP)

JANGSOOK KIM DDS 937 N LEMON ST (714) 776-1202 F/T 1 (SP, KO)

#044844

CORONA BRIGHT NOW! DENTAL #010322 140 E ONTARIO STE 101 (951) 735-4969 F/T 2 P/T 11 (SP) U

MAIN STREET DNTL #013104 131 W ONTARIO AVE STE 102 (951) 898-9700 F/T 1 P/T 2 (SP) U

MESA DNTL CENTER 267 E 17TH ST (949) 646-2411 F/T 2 (AR, TH, SP, HI)

#196301

MCKINLEY DENTAL #011789 115 N MCKINLEY ST STE 105 (951) 280-9300 F/T 1 (SP)

NEWPORT DNTL #022156 1835 NEWPORT BLVD STE E267 (949) 574-0100 P/T 1 (SP, PE, PL) U

ORCHARD DNTL #038294 2150 CALIFORNIA AVE STE 107 (951) 279-4333 P/T 1 (SP, JA) U

PACIFIC HARBOR DNTL #013168 3030 HARBOR BLVD STE G1 (714) 546-6100 P/T 1 (SP) U

#038137

SO CAL SMILES DENT #029184 230 E 17TH ST STE 208 (949) 645-0045 P/T 1 (SP, VI, TA, HI, RU, AR) U

CALIFORNIA DENTAL #044856 650 S LINCOLN AVE STE 102 (951) 372-0440 P/T 1 U CANYON DENTAL #023807 1561 E ONTARIO AVE STE 103A (951) 273-0555 F/T 1 (HI, SP) U CORONA DENTAL #029920 161 N MCKINLEY ST STE 102 (951) 737-3746 F/T 1 (SP, KO) U CORONA FAMILY DNTL #024304 1358 W 6TH ST # 101 (951) 734-4620 F/T 1 P/T 3 (FR, AR, SP) U CORONA FAM DENT #024541 3848 N MCKINLEY ST STE D (951) 371-2424 F/T 1 (SP, TA) DNTL ASSOC OF CORONA #009195 1380 EL SOBRANTE RD (951) 273-9580 F/T 2 (TH, SP, TA) U DNTL HEALTH CORONA #027114 4264 GREEN RIVER RD (951) 340-0200 F/T 2 DNTL R US #002542 1303 W 6TH ST STE 103 (951) 898-2101 F/T 2 (SP) EASTVALE DENTAL #022864 6987 HAMNER AVE STE 5 (951) 371-3464 P/T 1 (SP, VI) U FAM DNTL CR OF CORONA #042791 2815 S MAIN ST STE 105 (951) 340-2400 F/T 1 (HI) U GENTLE DNTL CORONA #032980 1074 W 6TH ST STE 104 (951) 279-7650 P/T 3 HARPREET GILL, DDS 360 W FOOTHILL PKWY (951) 279-1172 F/T 1 (SP)

42

#000224

PARKRIDGE DNTL SPA 520 E PARKRIDGE AVE (951) 735-0200 F/T 1 (SP, TA)

U

SOFT CARE DENTAL #029917 910 WASHBURN AVE STE D (951) 734-7717 P/T 1 (SP)

WESTERN DNTL SVS 534 W 19TH ST (949) 645-0218 F/T 2 P/T 32 (SP)

SOFT TOUCH DENTAL #010633 1411 RIMPAU AVE STE 106 (951) 280-0322 P/T 1 (SP, HI)

COVINA AHMED SAEED, DDS INC #015597 661 S 2ND AVE (626) 966-3571 P/T 1 (PE, SP)

SOUTH CORONA DNTL #004224 1312 E ONTARIO AVE STE 102 (951) 273-0370 P/T 3 (SP) U CORONA DEL MAR CORONA DEL MAR DNTL #029287 2345 E COAST HWY STE C (949) 675-3131 P/T 1 U CORONADO MARTHA MORETT, DDS #039394 1203 2ND ST STE C (619) 435-6840 F/T 1 (SP) U COSTA MESA BRIGHT DNTL CARE 320 BRISTOL ST STE H (714) 546-7595 F/T 2 (PE, SP)

#013279 U

BRIGHT NOW! DNTL #033581 2300 HARBOR BLVE STE H-5 (949) 610-0146 F/T 2 P/T 13 (AR, SP) DAZZLING SMILE DNTL #006360 204 E 17TH ST STE 201 (949) 515-8181 F/T 1 (SP, HU, AR) U

COLL ST FAM DTL GRP 153 W COLLEGE ST AT (626) 339-9085 P/T 1 (SP, KO)

#036332

#032182

COVINA DNTL & ORTHO #039353 558 W BADILLO ST (626) 331-0506 F/T 2 P/T 2 (SP, PE, AM) COVINA DNTL OFFICE #0C5901 1052 N CITRUS AVE (626) 967-6767 F/T 1 P/T 1 (SP, PE, VI, AR) U DNTL OF COVINA #000769 1406 N AZUSA AVE STE C (626) 858-9940 P/T 1 (SP, CH) U MANALESE DNTL CORP #035698 246 W COLLEGE ST STE 207 (626) 332-0013 F/T 1 (SP, TA) CUDAHY ST JAMES DNTL 7607 ATLANTIC AVE (323) 771-7254 F/T 1 (SP, PE)

#025191

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

CULVER CITY ALL CARE DENTAL 4310 OVERLAND AVE (310) 837-8087 F/T 1 (PE) CENTURY SMILE 9916 VENICE BLVD (310) 836-6161 P/T 1 (SP, PE)

#005952

#033495 U

CULVER CITY FAM DENT #013514 4909 SEPULVEDA BLVD (310) 313-3100 F/T 1 (SP, PE) U PRECISION DNTL INC #015062 5903 SEPULVEDA BLVD # B (310) 390-3565 P/T 1 (PE, SP, TA) U SMILE DENTAL 10920 VENICE BLVD (310) 204-6661 F/T 1 (RU, TA, SP)

#000277

WEST VIEW DENTAL #030925 10814 JEFFERSON BLVD STE G (310) 204-0440 P/T 2 (SP, PE) U CYPRESS CA DNTL OF CYPRESS #008674 11741 VALLEY VIEW ST STE E (714) 826-3000 P/T 1 (SP, VI, RO) U CYPRESS DNTL 9922 WALKER ST STE C (714) 220-0354 F/T 1 (SP, TA, PE, HE)

#015308

CYPRESS PLAZA DNTL 5460 ORANGE AVE (714) 226-9630 P/T 2 (SP, VI)

#027253

U

U

FAM DENT GAMAL TEWFIK #044443 6334 LINCOLN AVE (714) 527-1801 P/T 1 (SP, AR) U KATELLA DNTL CENTER #364501 6897 KATELLA AVE (714) 952-3044 F/T 2 (VI) DANA POINT DANA POINT DNTL #019004 34080 GOLDEN LANTERN ST (949) 661-5664 P/T 2 (KO, PE, TH, SP, IT) U DEL MAR DEL MAR PROF DTL GRP #007272 13983 MANGO DR STE 104 (858) 792-6662 P/T 1 (SP, PE) DELMAR DENT CNTR 318 9TH ST STE C (858) 259-9129 F/T 1 (PE)

#036821

DELANO TOLENTINO, DMD INC 1625 CECIL AVE STE A (661) 725-9393 F/T 1 (SP, TA)

#013857 U

DIAMOND BAR DIAMOND BAR SMILES #035451 2841 S DIAMOND BLVD # B (909) 860-6232 F/T 2 P/T 1 (SP) U DIAMOND DNTL CARE #3C4401 303 S DIAMOND BAR BLVD # 2C (909) 860-7579 P/T 1 (SP, HI) DIAMOND DNTL GRP #042787 20657 GOLDEN SPRINGS DR #207 (909) 595-8288 P/T 2 (SP, CH, AR) U MOUSALLY, DDS #360001 23525 GLDN SPGS DR STE C (909) 860-9399 F/T 1 GRAND AVE DENT #198101 1111 GRAND AVE STE G (909) 396-7474 P/T 1 (SP, HI) SAMAAN, DDS #2C0601 750 N DMND BAR BLVD STE 216 (909) 860-3111 F/T 2 P/T 1 (SP, AR) U DOWNEY CHARLES STUCKEN, DDS #359801 8847 IMPERIAL HWY STE C2 (562) 861-4011 F/T 1 (SP) U DNTL PROS #023622 12156 LAKEWOOD BLVD (562) 803-1600 P/T 1 (VI, SP, RU) U DOWNEY BEAUT SMILE #037040 11411 BROOKSHIRE AVE STE 405 (562) 862-2427 F/T 1 (AR, SP) U DOWNEY DNTL CNTR #250001 8515 FLORENCE AVE STE 200 (562) 869-4532 F/T 1 P/T 2 (SP, PE) U DOWNEY DNTL 8102 3RD ST (562) 803-3333 F/T 2 (SP)

#021685 U

KENNETH W CHENG, DDS #033113 8029 IMPERIAL HWY (562) 862-6979 P/T 1 (CA, KO, SP) U MISSION DNTL 9434 FIRESTONE BLVD (562) 803-9999 F/T 1 (KO, SP)

#037078 U

MONICA PUENTES, DDS #035356 11116 RIVES AVE (562) 861-3181 F/T 1 (SP) PLANET DENTAL #000646 8843 ROSECRANS AVE STE A (562) 633-9300 F/T 2 (SP) U QUALITY DENTISTRY 8485 FLORENCE AVE (562) 869-2091 F/T 2 (SP, PE)

#023299

RIVERA FAMILY DENTAL #143901 9944 LAKEWOOD BLVD (562) 869-6688 F/T 1 (AM, SP) U SMILECARE-DOWNEY #003955 9474 FIRESTONE BLVD (562) 803-4224 F/T 2 P/T 21 (SP, AM, TA) U YING WU DDS INC #012600 12651 LAKEWOOD BLVD STE 101 (562) 904-1150 F/T 1 (SP, CH, 12) DUARTE BRIGHT SMILE FAM DNTL #001820 2233 HUNTINGTON DR (626) 359-9898 F/T 1 P/T 1 (CH, 12, SP) U DUARTE FAM DENT #039750 1217 BUENA VISTA ST STE 202 (626) 357-2254 F/T 1 P/T 1 (SP) U EASTVALE BRIGHT NOW DENTAL #011787 12636 LIMONITE AVE STE 1A (951) 808-4323 F/T 4 P/T 14 (TA, SP) U EL CAJON BRIGHT NOW DNTL 2502 JAMACHA RD (619) 212-7959 F/T 1 P/T 7

#038229 U

DOWNEY DNTL CARE #044946 10501 LAKEWOOD BLVD STE B (562) 862-2341 P/T 2 (RU, SP) U

COTTONWOOD DNTL #013460 2451 JAMACHA RD STE 104 (619) 444-0500 F/T 3 (SP)

#034386

DNTL ARTS GROUP #043648 707 ARNELE AVE (619) 444-1001 F/T 1 P/T 1 (RU, VI, TA, SP)

FARNAZ HAYAVI, DDS 8301IMPERIAL HWY (562) 862-5777 F/T 1 (SP, PE)

U

FRED BINA, DDS #152601 KOREL FAM DENTISTRY #369501 11849 PARAMOUNT BLVD 1265 AVOCADO AVE STE 102 (562) 869-2596 (619) 444-3393 F/T 3 (SP, PE) F/T 1 (AR) U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

43

E COUNTY DTL ASSOC #007821 700 N JOHNSON AVE STE P (619) 444-3127 F/T 2 (SP)

E L A DENTAL #002096 12015 GARVEY AVE STE A (626) 454-1888 F/T 1 (CH, SP, 12) U

ENCINO COSMETIC DNTL #023865 16133 VENTURA BLVD STE 1100 (818) 906-2222 F/T 1 (SP, PE) U

E CTY FAM DNTL CTR #021436 13465 CAM CANADA STE 110-A (619) 390-3669 F/T 1 (SP, TA) U

FAMILY DENTISTRY #002825 9060 TELSTAR AVE STE 206 (626) 571-5975 F/T 1 (RO, HU, SP) U

ENCINO DNTL CENTER #184401 17815 VENTURA BLVD STE 101 (818) 708-1200 F/T 1 (HE, SP)

#359601

ENCINO DNTL ESTHETICS #019961 17525 VENTURA BLVD STE 100 (818) 784-7832 (PE, SP) U

FLETCHER PKWY FAM DNTL #044695 2295 FLETCHER PKWY STE 101 (619) 644-3307 F/T 1 P/T 1 (SP) U

MOUNTAIN VIEW DNTL #009557 4639 PECK RD (626) 444-9281 P/T 1 (SP, VI, GE)

ENCINO FAMILY DNTL #237501 15720 VENTURA BLVD STE 322 (818) 788-7060 F/T 2 (HE, SP, FR) U

#2C8201 U

SELECT DNTL PRACTICE #016230 3116 PECK RD (626) 454-2444 P/T 1 (AR, SP, FR, AM) U

ENCINO SMILE CNTR INC #018245 15720 VENTURA BLVD STE 300 (818) 788-6684 P/T 1 (AR, RU, TA, AM) U

LA MAESTRA FAM CLINIC #024593 183 S 1ST ST (619) 328-1335 F/T 1 (TA, SP, AR) U

BEHJOU DTL CORP #001715 10755 LOWER AZUSA RD STE B (626) 448-2040 F/T 2 P/T 1 (KO, HE, SP, PE, RU, AM) U

IRAJ EBRAMI, DDS #002861 16311 VENTURA BLVD STE 640 (818) 905-8337 P/T 1 (PE, SP, HE) U

RSD DNTL #036104 2907 JAMACHA RD STE B (619) 660-2424 P/T 2 (AR, SP, VI) U

SUNSHINE DNTL 4161 TYLER AVE (626) 579-4274 F/T 2 (SP, IN, CH)

#019551

ABRAMOVICI, DDS #017619 16550 VENTURA BLVD STE 403 (818) 986-0898 P/T 1 (RO, SP, HE) U

SWE DENTISTRY #020419 10354 GARVEY AVE STE B (626) 350-8366 P/T 1 (SP) U

RENE GHOTANIAN, DDS #179901 5363 BALBOA BLVD STE 346 (818) 990-3551 F/T 1 (SP, PE, AM, HI)

#012106

ESCONDIDO ACACIA DNTL CARE #003541 639 S ESCONDIDO BLVD (760) 489-6197 P/T 2 (KO, SP, TA)

EL CAJON FAM DNTL 2720 FLETCHER PKWY (619) 466-1292 F/T 1 (SP, AR)

HORIZON DNTL 742 BROADWAY (619) 440-0071 F/T 1 P/T 4 (SP, TA, AR)

SMILECARE-EL CAJON 1242 E MAIN ST (619) 444-6355 F/T 3 P/T 8 (SP, AR)

#003508

KHAN DNTL CORP 4900 PECK RD (626) 579-5158 F/T 2 (HI, SP)

SMILECARE-EL CAJON II #003154 2990 JAMACHA RD STE 132 (619) 670-1700 F/T 1 P/T 6 (AR, SP)

TESSIE T SY, DDS 4565 PECK RD (626) 350-3295 F/T 1 (CH, SP, TA)

SUN VALLEY DNTL CARE #024248 1209 E MAIN ST (619) 442-0707 F/T 1 (SP) U

VICTOR MARTIN, DDS #003824 3564 SANTA ANITA AVE STE F (626) 401-9808 F/T 1 (TA, SP) U

EL CENTRO PRANAB DUTT, DDS 1540 S IMPERIAL AVE (760) 352-2773 P/T 1 (SP, HI)

ENCINITAS CAMINO DNTL #014605 1340 ENCINITAS BLVD # 100 (760) 942-3900 P/T 3 (SP) U

#041810

#036308

BRIGHT NOW DENTAL 501 W FELICITA AVE (760) 705-3150 F/T 1 P/T 9

#036836

BRIGHT NOW DNTL 1286 AUTO PARKWAY (760) 705-9464 P/T 9 (SP)

#034863

U

U

NCH DENTAL #034728 477 N EL CAM RL STE C210 (760) 943-8880 F/T 1 (KO, RO, CS, SP) U

EL NORTE FAMILY DNTL #154801 306 W EL NORTE PKWY STE D E (760) 480-5600 P/T 1 (SP)

EL MONTE ALFONSO MARTINEZ, DDS #012851 11733 VALLEY BLVD STE A (626) 575-7565 F/T 1 (SP)

ENCINO A ONE DNTL OFFICE 17175 VENTURA BLVD (818) 788-3488 F/T 1 (SP, TA)

ESCONDIDO DNTL 403 W FELICITA AVE (760) 233-2260 P/T 1 (SP)

CENTRAL DNTL #003785 12072 VALLEY BLVD (626) 527-2200 P/T 1 (FR, VI, CA, SP, TA, JA) U

DAN ROSEN, DDS #164601 16542 VENTURA BLVD STE 505 (818) 907-6736 F/T 4 (HE, SP) U

DAVID KUTNER, DMD #001901 3701 SANTA ANITA AVE (626) 442-4582 P/T 1 (SP) U

DANIEL TEBBI, DMD #032956 16661 VENTURA BLVD STE 620 (818) 789-2034 F/T 1 (SP, PE) U

WESTERN DNTL SVS 1450 N IMPERIAL AVE (760) 370-3950 F/T 2 P/T 29 (SP, TA)

44

#029203

#033798 U

#007041

ESCONDIDO SMILES DNTL #040743 860 W VALLEY PKWY STE 100 (760) 745-1585 F/T 1 P/T 1 (SP) FAMILY CARE DENTAL 1114 W VALLEY PKWY (760) 738-1070 P/T 1 (SP, VI, TA)

#191801

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

GNTL DENT-DEL LAGO #005132 3440 DEL LAGO BLVD STE C (760) 746-8777 F/T 1 P/T 4 (SP) SD DTL CR GRP 913 E VALLEY PKWY (760) 233-2333 F/T 2 P/T 3 (RU, PE, SP)

#035371 U

SAHARA DENTAL #013554 17250 FOOTHILL BLVD STE E (909) 428-8500 P/T 1 (SP, AR) SIERRA FAM DENT 9870 SIERRA AVE STE B (909) 823-2020 P/T 1 (SP, HI)

#016892

AMIT SHAH, DDS #010880 137 W CHAPMAN AVE STE A (714) 738-6001 F/T 1 BRITE DNTL 1573 S HARBOR BLVD (714) 224-5255 P/T 1 (SP)

#013174 U

ZANDKARIMI, DDS #005335 240 W MISSION AVE STE A B (760) 747-7000 F/T 1 (PE, SP, TA)

SIERRA LAKES DNTL #021056 16475 SIERRA LAKES PKWY (909) 357-0869 F/T 1 P/T 2 (SP, VI) U

ERIC MEYER, DDS #276001 2720 N HARBOR BLVD STE 110 (714) 879-7943 P/T 1 (SP)

VILLAGE DNTL CENTER #196901 8895 LAWRENCE WELK DR (760) 749-7500 F/T 1

SIERRA PKWY DNTL #033532 16953 SIERRA LKS PKWY # 110 (909) 357-3900 P/T 1 (HI, SP) U

EUROP AMER DNTL APC #039450 100 N STATE COLLEGE BLVD # E (714) 738-8452 F/T 1 (RU, PL, FR, SP)

WESTERN DNTL SVS #036286 1468 E VALLEY PKWY (760) 480-8700 F/T 12 P/T 34 (SP, AR, TA)

GRIGORYAN, DDS #015612 7993 SIERRA AVE STE H (909) 428-5111 F/T 1 (SP) U

FULLERTON DNTL ART 717 N PLACENTIA AVE (714) 577-0105 P/T 1 (SP, HI)

FONTANA BRIGHT NOW! DENTAL #017952 16135 SIERRA LAKES PKWY (909) 356-2006 F/T 5 P/T 10 (SP) U

VIVEN MAGHIRAN, DDS #028369 14755 FOOTHILL BLVD STE E (909) 349-1360 F/T 1 (SP, TA) U

FULLERTON DNTL ASSO #041549 2949 BREA BLVD (714) 671-0300 P/T 2 (SP, PE) U

CREATIVE SMILES DENT #042796 9673 SIERRA AVE STE C (909) 355-6800 F/T 1 (KO, SP) U

FOOTHILL RANCH PORTOLA DENTAL #044941 26730 TOWNE CENTRE DR # 101 (949) 916-4500 F/T 1 (PE, SP) U

FULLERTON DNTL CARE #036008 170 N RAYMOND AVE (714) 870-2000 F/T 1 P/T 1 (PE, SP)

GATEWAY DTL OFC #007661 15032 SUMMIT AVE STE 410 (909) 899-3940 F/T 1 (SP, HI)

TOWNE CENTRE DNTL #019421 45 AUTO CENTER DR STE 110 (949) 588-5906 P/T 3 (HI, TA, SP, PE) U

FONTANA DNTL #151301 9193 SIERRA AVE STE D (909) 822-2226 F/T 4 (PL, TA, SP)

FOUNTAIN VALLEY BRIGHT NOW DENTAL 18633 BROOKHURST ST (714) 274-4222 F/T 2 P/T 11 (SP)

GUPTA DNTL CORP #325201 11623 CHERRY AVE STE B2 (909) 355-1485 F/T 1 (PE, HI, SP) U GUPTA’S DNTL OFFICE #030621 16049 BASELINE AVE UNIT 3 (909) 356-9752 F/T 2 (SP, HI) U HERITAGE DNTL CARE #3C2901 7360 CHERRY AVE STE 340 (909) 355-9350 F/T 1 P/T 1 (SP) U LAURA JIMENEZ, DDS #028315 17500 FOOTHILL BLVD STE C2 (909) 357-7000 F/T 1 (SP) U MORNINGSIDE DNTL #016014 14584 BASELINE AVE STE 340 (909) 822-7374 F/T 1 (SP) U VYAS, DDS INC 9647 SIERRA AVE (909) 823-5959 F/T 1 (SP)

#368601

#036364 U

DAVID COHEN, DDS #002516 11180 WARNER AVE STE 451 (714) 444-4428 F/T 1 (SP) U DR VINH DENTISTRY #043438 18120 BROOKHURST ST STE 13 (714) 962-6669 F/T 1 (VI, SP) U FOUN VALY DNTL ESTH #016836 17900 BROOKHURST ST STE A (714) 887-4337 F/T 1 P/T 1 (KO, SP) U QUALITY DNTL CARE #384201 17150 EUCLID ST STE 311 (714) 444-4224 F/T 1 (RU, AR, SP) U WADID FATTOUCH, DDS #186301 11180 WARNER AVE STE 251 (714) 557-8492 F/T 1 (AR, VI, PE, SP, FR) U

#043707 U

FULLERTON DNTL CNTR #010101 446 E COMMONWEALTH AVE (714) 680-6767 F/T 1 P/T 1 (SP, KO) U FULLERTON FAM DNTL #033363 906 W ORANGETHORPE AVE (714) 871-3900 F/T 1 (SP, CH, TA) JANE SKUBEN, DDS 1690 N PLACENTIA AVE (714) 528-0600 P/T 1 (CH, TA, SP)

#013788 U

KENNY JANG, DDS, INC #037843 1657 W ORANGETHORPE AVE (714) 626-0288 F/T 1 U NEWPORT DENTAL #003989 1718 W ORANGETHORPE AVE (714) 525-3855 F/T 3 P/T 11 (SP) SUNSHINE DENTAL #015258 506 W COMMONWEALTH AVE (714) 738-7777 F/T 1 (SP) US DENTAL 1019 N HARBOR BLVD (714) 992-0300 F/T 1 (PE, SP)

#004716 U

VALENCIA FAM DNTL CRE #015610 345 S EUCLID ST STE A (714) 773-9300 F/T 1 P/T 1 (HI, SP) U

FULLERTON ALL SMILE DNTL CARE #040515 U 819 W WILSHIRE AVE (714) 441-1658 F/T 1 (SP) U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

45

GARDEN GROVE BRENTWOOD DENTAL 12400 EUCLID ST (714) 537-1600 F/T 1 (VI) CENTURY DNTL CARE 13011 CENTURY BLVD (714) 534-7020 F/T 1 (SP, CH, KO, VI)

#022860 U #011701 U

COASTAL DNTL CARE #007880 10044 WESTMINSTER AVE (714) 539-7070 F/T 3 P/T 2 (KO, SP, VI, PE) GARDEN GROVE DENTAL #008833 12630 BROOKHURST ST STE B (714) 530-4920 F/T 3 P/T 1 (SP, TA, CS, FR, VI, RU, HU) U GARDEN W DNTL & ORTHO #037841 10372 WESTMINSTER AVE (714) 530-7220 F/T 1 P/T 1 (SP, CH, VI) U PRIMARY DNTL CARE #041734 12570 BROOKHURST ST STE 2 (714) 537-5700 P/T 1 UNIVERSAL CARE DENTAL #127401 12828 HARBOR BLVD STE 340 (714) 530-9801 F/T 3 P/T 5 (SP, VI, TA) U GARDENA CITY DNTL CENTER #001813 1300 W 155TH ST STE 208 (310) 715-2723 P/T 1 (TA, SP) U DR LY VINA DNTL #029328 15422 CRENSHAW BLVD (310) 352-4939 P/T 1 (VI) U PLAZA DENTAL 14240 S VERMONT AVE (310) 515-5511 F/T 1 (SP)

#173301 U

SUNNY SMILE DNTL CNTR #028370 1600 W REDON BH BLVD STE 203 (310) 808-0198 F/T 1 (CA, CH, 12, SP) GLENDALE BAGDASARYAN, DDS #001666 457 PALM DR STE 100 (818) 956-3733 F/T 1 (PE, RU, FR, SP, AM) SARADJIAN, DDS #003132 205 S VERDUGO RD STE A (818) 244-4949 F/T 3 (AM, RU, PE, SP) BROADWAY DNTL OFFICE #162301 727 E BROADWAY (818) 240-5888 F/T 2 (SP) U

46

CARMEN OHANIAN, DDS #012933 1110 N BRAND BLVD STE 201 (818) 244-0215 F/T 1 (AM, RU, PE) U

STARLIGHT DNTL 214 N CENTRAL AVE (818) 243-8888 F/T 1 (PE, SP, AM, RU)

DANIEL ESTACIO, DDS #013739 1140 E CHEVY CHASE DR (818) 247-3387 F/T 1 P/T 1 (TA, SP) U

TEETH & GUMS CNTR DNTY #018577 730 S CENTRAL AVE STE 116 (818) 545-3515 P/T 1 (TA, CH, SP) U

DNTL CENTRAL GROUP #027579 814 E BROADWAY STE 4 (818) 241-1160 P/T 1 (AM, SP) U

TOWN CNTR DENT #013449 316 E BROADWAY STE A (818) 548-7700 F/T 2 (AM, TA) U

ESTHETIC DENTISTRY INC #045348 1902 W GLENOAKS BLVD (818) 638-7200 P/T 1

GULESSERIAN DDS #038568 1010 N GLENDALE AVE STE 206 (818) 548-0752 F/T 1 (PE) U

GLENDALE PREM DTL CNTR #023481 819 N PACIFIC AVE (818) 240-1760 P/T 1 (FR, AM, SP, KO, GE)

GLENDORA FOOTHILL FAMILY DNTL #043851 210 S GRAND AVE STE 420 (626) 963-3322 F/T 1 (AR) U

HAMLET DAVARI, DDS #001817 1110 N BRAND BLVD STE 202 (818) 242-4781 P/T 1 (PE, SP, AM, RU) IRINA M SAHAKI DDS #035753 520 E BROADWAY STE 402 (818) 241-2424 F/T 1 (PE, AM, RU) U JERRY KOLESAR, DMD #365701 1122 N BRAND BLVD STE 102 (818) 242-2667 F/T 2 (SP) JOHN GAZARIAN, DDS #171801 230 N MARYLAND AVE STE 205 (818) 502-9990 P/T 1 (AM, SP, TA, RU, PE) U JOHN YEKIKIAN, DDS #235901 1128 N BRAND BLVD STE A (818) 242-4703 F/T 1 (SP, AM) ARAKELIAN, DDS #013063 411 N CENTRAL AVE STE 120 (818) 956-7137 F/T 1 (PE, AM, SP) U MIRZOYAN DNTL CORP 1127 N PACIFIC AVE (818) 551-1127 F/T 1 (RU, SP, AM)

#041334 U

MONTROSE DNTL #3C4601 3600 OCEAN VIEW BLVD STE 6 (818) 541-9010 F/T 2 (RO, AM, PE) NEW SMILE DNTL #012588 204 E CHEVY CHASE DR STE 1 (818) 547-4398 P/T 1 (SP, RO, RU, GE, PE, AM, AR, FR) OVSEP LUSINYAN, DDS #028263 501 W GLENOAKS BLVD STE 14 (818) 500-7978 F/T 1 (RU, AM, SP)

FRIENDLY DNTL CARE 335 W ARROW HWY (626) 914-6663 F/T 1 (AR, SP, PE, TA)

#028405

#030531 U

GLENDORA DNTL CNTR #288401 610 E ROUTE 66 (626) 335-7727 F/T 2 P/T 1 (TA, SP, PE) GLENDORA SMILES DNTL #021055 605 W ROUTE 66 (626) 771-1320 F/T 1 P/T 1 (SP, PT) U HARRY PAGES, DDS 641 W ROUTE 66 STE D (626) 914-3068 F/T 1 (SP)

#191001

NEW VISION DENTAL 1814 E ROUTE 66 STE B (626) 963-7000 F/T 1 (VI)

#036537

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SOLIMAN, DDS INC #013849 150 S GRAND AVE STE F (626) 914-3150 F/T 1 (AR, SP) U WOODGLEN DNTL CNTR #016959 220 S GLENDORA AVE STE B (626) 914-4054 P/T 1 (SP, AR) GOLETA WESTERN DNTL SVS 5680 CALLE REAL (805) 979-3155 P/T 9 (SP)

#041299

GRANADA HILLS BALBOA DNTL #020519 11850 1/2 BALBOA BLVD (818) 360-1946 P/T 1 (SP, AM, PE, GE) U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

BRIGHT NOW DENTAL #043477 18121 CHATSWORTH ST (818) 491-0056 P/T 6 (SP) U

CASTLE DNTL CENTERS #015649 13220 HAWTHORNE BLVD (310) 679-9019 F/T 1 P/T 7 (SP, RU, VI) U

HEMET SMILES 1001 S STATE ST STE B (951) 658-6100 P/T 1 (SP)

GRANADA HILLS FAM DNTL #041672 16917 DEVONSHIRE ST (818) 360-0957 F/T 2 (TA, VI, SP) U

CHOICE DNTL #3C4901 12730 HAWTHORNE BLVD STE D (310) 644-4000 P/T 2 (PE, KO, SP, TA) U

MILLER, DDS INC A PROF #034805 810 SAINT JOHN PL STE C (951) 652-4040 F/T 1 (CH, SP)

JOHN BOSAK, DMD #320001 10727 WHITE OAK AVE STE 213 (818) 368-5676 F/T 1 (PE, SP)

COMFORT DNTL CENTER #165901 4277 W EL SEGUNDO BLVD (310) 970-0900 F/T 2 (PE, SP) U

SMILE SHOP 4180 E FLORIDA AVE (951) 306-0987 F/T 1 (SP)

KAMRAN RAFIE, DDS #039080 17656 CHATSWORTH ST (818) 363-0200 F/T 1 P/T 1 U

DAILY DNTL #025066 11633 HAWTHORNE BLVD STE 502 (310) 644-4464 F/T 1 P/T 1 (SP, JA)

SUNSHINE DNTL CARE #034675 239 N SANDERSON AVE # C-2 (951) 925-1223 F/T 1 U

GRAND TERRACE MARILETH CORIA, DDS 22575 BARTON RD (909) 825-6003 F/T 1 (SP, TA)

DR GARY GEE DDS #019413 14115 CRENSHAW BLVD STE 1 (310) 644-0474 F/T 1 (CA, SP)

HESPERIA BRIGHT NOW DENTAL #018517 17003 BEAR VALLEY RD STE D (760) 244-1900 F/T 1 P/T 12 (SP) U

#002341

HACIENDA HEIGHTS COMFORT SML FMLY DENT #2C9401 15724 GALE AVE (626) 333-5244 F/T 1 (SP, 12, CH) KATY CHOU FAM DENT #030838 17138 COLIMA RD STE C (626) 854-1826 P/T 1 (SP, CH) U TRI CITY SMILES DTL #023805 17188 COLIMA RD STE B (626) 581-7878 F/T 1 P/T 1 (HI, SP) U VIOLA ISKAROUS, DDS #012684 2440 S HACIENDA BLVD STE 233 (626) 968-0052 F/T 1 (SP) HARBOR CITY BAY HARBOR DNTL 1537 LOMITA BLVD (310) 530-5252 F/T 2 (SP)

#2C9101 U

HAWAIIAN GARDENS GENTLE DNTL CARE #043166 12144 CARSON ST STE E (562) 982-1380 F/T 1 (SP, KO) U KEUN CHAN LEE, DDS 12531 CARSON ST (562) 924-2448 F/T 1 (KO, SP)

#012073 U

NEWPORT DTL-HAWAIIAN #013434 21714 PIONEER BLVD (562) 421-3737 P/T 14 (SP, HI) U HAWTHORNE ALL KIDS DNTL CARE #030248 13340 HAWTHORNE BLVD (310) 973-8004 F/T 1

HAWTHORNE DENTAL #011201 13935 HAWTHORNE BLVD (310) 973-6428 P/T 1 (SP, RU) HAWTHORNE DNTL CARE #018977 4477 W 118TH ST STE 500 (310) 970-9255 F/T 1 (SP) U FMLY & COS DTL #007529 13901 HAWKTHORNE BLVD (310) 675-5050 F/T 1 (SP) U JOHN LEGASPI, DMD #0C4501 13352 HAWTHORNE BLVD (310) 973-1525 P/T 1 (TA, SP) SANTA MARIA DNTL OFC #003889 11938 HAWTHORNE BLVD (310) 973-0945 F/T 1 (SP) SUNRISE DNTL #012946 13624 HAWTHORNE BLVD STE 205 (310) 856-6574 F/T 1 (GE, SP, PE) HEMET BRIGHT NOW! DENTAL 2721 W FLORIDA AVE (951) 925-2226 P/T 11 (SP)

#016801

BRIGHT SMILE DENTI 920 N STATE ST (951) 765-1234 P/T 1 (AR)

#036130

SKINNER DNTL CORP 250 S LYON AVE STE B (951) 658-2354 F/T 1 (SP)

#032178 U

HEMET DNTL & ORTHO #012150 4000 W FLORIDA AVE (951) 658-9980 F/T 1 P/T 2 (SP) U

DNTL OF HESPERIA 15776 MAIN ST STE 18 (760) 949-8484 F/T 1 (SP)

#022069 U

#017951 U

#036583 U

DESERT VALLEY DNTL GRP #391001 16868 MAIN ST (760) 244-2625 P/T 2 (SP) U FAMILY DENTISTRY 15550 MAIN ST STE B7 (760) 947-7777 F/T 1 (PE, TA, SP)

#021423

GENTLE DENTAL 16455 MAIN ST STE 17 (760) 244-6077 F/T 4 P/T 6 (TA, CA, SP)

#013688

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HIGH DESERT SMILES #026917 12821 MAIN ST STE 150 (760) 947-9853 P/T 2 (SP) U RADIANT DENTAL 15398 MAIN ST STE A (760) 949-7211 F/T 1 (SP, HI)

#043394 U

HIGHLAND HIGHLAND DNTL & ORTHO #027405 27949 GREENSPOT RD STE H (909) 864-6010 P/T 4 (SP) U INLAND DNTL CTR 6982 BOULDER AVE (909) 862-2121 F/T 1 P/T 1 (SP) HOLLYWOOD ARNOLD RIFMAN, DDS 6234 FOUNTAIN AVE (323) 466-2937 F/T 1 (RU, SP)

#016135 U #389001 U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

47

SAID ALY, DDS 1680 VINE ST STE 1020 (323) 464-2033 F/T 1 (AR, AM)

#015901

HUNTINGTON BEACH BEACH DNTL & ORTHO #003093 19720 BEACH BLVD # B (714) 593-1010 F/T 1 P/T 3 (SP) U BEACH DNTL & ORTHO #011718 9842 ADAMS AVE STE 106 (714) 968-4907 F/T 2 P/T 1 (SP) U BEACHSIDE DNTL #200701 18800 MAIN ST STE 110 (714) 842-6151 F/T 1 P/T 5 (SP, VI, TA, IT, AR) U BELLA TERRA DENTISTRY #023265 16261 BEACH BLVD (714) 847-2220 F/T 1 (SP, VI) U BIG DNTL #030941 18682 BEACH BLVD STE 100 (714) 968-3522 F/T 1 P/T 1 (TR, PE, SP) U

#000185

#002488

PACIFICA DNTL #017302 18821 DELAWARE ST STE 101 (714) 848-8211 P/T 2 (PE, SP, VI, TA, AR)

PRO DENTISTA 2634 CLARENDON AVE (323) 585-2777 F/T 1 (SP)

#032641

PEARLY WHITE DENTAL #011891 16474 BOLSA CHICA ST (714) 377-3736 F/T 1 (SP, VI) U

SEVILLE DNTL CNTR DDS #355801 7705 SEVILLE AVE STE A (323) 582-6938 F/T 1 (SP) U

SMART DENTAL #025690 16152 BEACH BLVD STE 140 (714) 847-5100 P/T 1 (AR, TA, SP, VI, CH, KO)

YOUR CHOICE DENTAL #158201 6601 RUGBY AVE STE 400 (323) 585-1515 P/T 2 (SP) U

SUBODH SWAROOP, DDS #024130 10028 ADAMS AVE (714) 962-4070 F/T 1 (HI, SP)

YOUR CHOIS DENTAL 3131 E FLORENCE AVE (323) 585-3332 F/T 1 (SP, KO, PE)

YORKTOWN DNTL PRAC #003209 9931 YORKTOWN AVE (714) 963-9809 F/T 1 (SP)

IMPERIAL PEOPLES DNTL OFFICE 2387 US HIGHWAY 86 (760) 353-5100 F/T 3 P/T 1 (SP)

COASTLINE DNTL CARE #019236 16033 BOLSA CHICA ST STE 110 (714) 846-7700 P/T 1 (SP, VI) U

HUNTINGTON PARK ABANILLA DENTAL 3017 E FLORENCE AVE (323) 584-1171 F/T 1 (TA, SP)

COSM & DNTL IMP CTR #029634 19080 BROOKHURST ST (714) 968-2527 P/T 1 (VI, SP) U

BINAFARD DENTALAND #012919 7136 PACIFIC BLVD STE 210 (323) 585-1000 P/T 1 (FR, SP, PE)

CRYSTAL DENTAL #043603 7812 WARNER AVE (714) 841-4700 F/T 1 P/T 2 (SP, FR, VI, PE) U

CENTURY DENTAL 6318 PACIFIC BLVD (323) 588-4869 F/T 1 P/T 1 (SP)

#038486 U

U

DTL ASSOC OF H B #011389 5942 EDINGER AVE STE 101 (714) 377-4449 P/T 2 (SP, KO, PE, AR) U

DR. JUSTIN DNTL #376101 7208 PACIFIC BLVD STE 200 (323) 582-2200 F/T 1 (KO, SP) U

#029582 U

HUNTINGTON FAM DNTL #392401 2542 E FLORENCE AVE STE A (323) 582-0755 F/T 2 (SP, PE) U

HARBOUR LANDING DNTL #015581 4911 WARNER AVE STE 202 (714) 846-4414 P/T 1 (SP) U

HUNTINGTON PK FAM DNTL #002376 2711 E SLAUSON AVE (323) 582-4474 F/T 1 P/T 1 (PE, SP) U

KATHLEEN COLLINS, DDS #017220 16052 BEACH BLVD STE 120 (714) 887-0444 F/T 1 (SP) U

KIDS & ADULT DNTL #012625 2625 E FLORENCE AVE STE C (323) 277-9191 F/T 1 P/T 2 (SP)

FAMILY DNTL CARE 9952 HAMILTON AVE (714) 593-0256 P/T 1 (SP)

KOSMAS PAPPAS, DDS 10106 ADAMS AVE (714) 962-7797 P/T 1 (SP)

#041412

#013050

FRANSIS DNTL CENTER #028712 6040 PACIFIC BLVD (323) 583-5677 F/T 2 (PE, SP, AR)

DENTISTRY TODAY 19059 BUSHARD ST (714) 964-2040 P/T 1 (PE, SP)

48

PACIFIC FAM DENT 5914 PACIFIC BLVD (323) 581-0100 F/T 1 (KO, SP)

LINA MUSLEH, DDS 19754 BEACH BLVD (714) 964-8830 F/T 1 (SP)

#007419 U

KIMS FAMILY DENT 7601 SEVILLE AVE (323) 587-6600 F/T 1 (SP, KO)

#270201

U

#004069 U #185301

IMPERIAL BEACH IMPERIAL BEACH DNTL #024542 1340 IMPRL BCH BLVD STE 202 (619) 429-6600 F/T 3 (SP) INDIO GENTLE DNTL INDIO #017293 81557 DR CARREON BLVD STE D3 (760) 775-5284 F/T 3 P/T 2 (SP, PE, TA) INLAND DNTL CENTER #021202 44100 JEFFERSON ST # 404 (760) 772-0214 P/T 1 (SP) U MATT T JAM DDS #017508 81730 US HIGHWAY 111 STE 8 (760) 347-7505 F/T 1 (SP, PE) TOWN & CNTY DENT #023264 81637 HIGHWAY 111 SW #1 (760) 342-1448 P/T 1 (SP, AM, RU) U INGLEWOOD CENTURY DENTAL 257 S MARKET ST (310) 677-4767 F/T 1 P/T 3 (PE, KO, SP) COMPREHENSIVE DEN 141 N PRAIRIE AVE (310) 330-0080 F/T 1 (SP)

#008571

#038127

CROWN DNTL #003822 1295 S LA BREA AVE STE 101 (310) 672-0129 P/T 1 (KO, SP) U

U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

U

GENTLE DENTAL #017914 4950 BARRANCA PKWY STE 105 (949) 551-4242 P/T 6 (SP, VI) U

OKONKWO, DDS #029202 2710 W MANCHESTER BLVD STE 3 (323) 971-5026 F/T 1 (SP)

GRACE HAN, DMD #021494 14785 JEFFREY RD STE 200 (949) 502-6406 F/T 1 (PE, KO, SP) U

FORUM DNTL 400 E REGENT ST (310) 674-7590 F/T 1 (SP)

#228401

I SMILE DENTISTRY #040624 33 CREEK RD STE 300 # C (949) 333-2717 F/T 1 (FR, AR, SP) U

IMPERIAL CRENSHAW 2798 W IMPERIAL HWY (323) 418-8888 F/T 1 (TA, PE, SP)

#002784

LAX DNTL 4201 W CENTURY BLVD (310) 981-9000 F/T 2 (PE, SP)

#021677

NEWHART DNTL INC 3516 W IMPERIAL HWY (310) 677-9101 F/T 2 P/T 2 (SP)

#041271

BALLENGER, DDS 139 N PRAIRIE AVE (310) 412-2994 P/T 1 (SP)

#033841

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IRVINE SMILE ARTS DENT #034743 14150 CULVER DR STE 204 (949) 726-1001 F/T 1 (SP, HI) MALEK MANSOUR, DDS #000596 22 ODYSSEY STE 265 (949) 585-1515 F/T 3 (SP, FR, AR) U

U

MANAL AZIZ DDS INC #044965 14150 CULVER DR STE 205 (949) 559-6565 F/T 2 P/T 1 (AR) U

JOHNSON JR, DDS #375501 808 E MANCHESTER BLVD (310) 671-1234 F/T 1 (SP) U

MICHAEL ALIJANI, DDS #029279 17655 HARVARD AVE STE F (949) 833-8884 F/T 1 P/T 1 (SP, AM) U

#030246

O C SMILE DENTAL #035120 17931 MACARTHUR BLVD (949) 862-0028 P/T 1 (TA, CH, TR, AR, SP) U

WESTCHESTER DNTL 212 N MARKET ST (310) 671-9920 P/T 1 (PE, SP)

U

IRVINE ALTON IMPLANT CENTER #042860 5405 ALTON PKWY STE F (949) 262-0300 F/T 1 (HI) ASHORE DENTAL #044154 4980 BARRANCA PKWY STE 204 (949) 552-8547 P/T 1 (SP, CH) U CA SMILE DESIGN #002410 2646 DUPONT DR STE C200 (949) 955-3366 F/T 1 (RU, AR, IT) U DNTL 2000 #012355 33 CREEK RD STE 210 BLDG B (949) 857-6757 P/T 1 (SP, HI, PE) U DNTL CARE OF IRVINE #013086 4330 BARRANCA PKWY STE 230 (949) 786-1234 F/T 1 (PE, SP, HI, KO) FAM DENT ON THE LAKE #025814 4605 BARRANCA PRKWY #200 (949) 551-4336 F/T 1 (SP) FARZAD SHAYGAN, DDS #339901 4040 BARRANCA PKWY STE 140 (949) 559-7300 F/T 1 (PE) U

OC DNTL #019892 14130 CULVER DR STE C (949) 653-8888 P/T 1 (PE, SP, FR) U ROYA TOOMARIAN, DDS #002461 33 CREEK RD STE 130 (949) 786-0640 F/T 1 (PE) U SEDATION & IMPL DENT #042097 113 WATERWORKS WAY STE 220 (949) 727-0777 P/T 2 (SP) U SHADOW MT DTL GRP 2860 MICHELLE FL 2 (SP)

#023583

TRIANGLE DNTL 14305 BASELINE AVE (909) 355-1700 P/T 2 (SP)

#014116

UNIVERSITY PK DENT 5321 UNIVERSITY DR (949) 653-2244 F/T 1 (SP, PE)

#034769

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U

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WALNUT DNTL & ORTHO #040898 14427 CULVER DR (949) 733-0486 P/T 1 (PE, SP) U

LA CANADA FLINTRIDGE FLINTRIDGE DNTL #043157 1035 FOOTHILL BLVD (818) 952-6000 P/T 1 (SP, AM, PE) U LA CRESCENTA CRESCENTA FAM DNTL #007039 2644 FOOTHILL BLVD (818) 248-9988 F/T 1 P/T 2 (PE, AM, FR) FAMILY DENTISTRY #015841 3157 FOOTHILL BLVD STE A (818) 541-9724 P/T 1 (RU, AM, SP, PE) U NINA SONIN, DDS #018881 3043 FOOTHILL BLVD STE 5 (818) 542-3039 P/T 1 (SP, RU) LA HABRA AKSHAR DENTAL #025175 1281 E LA HABRA BLVD STE 4 (562) 697-3788 F/T 1 (TH, SP, HI, CH) CHESTER JENG DDS INC #002721 744 W LA HABRA BLVD (562) 691-0738 P/T 1 (SP, CH) COASTAL DNTL CARE 1216 S IDAHO ST STE C (714) 447-8200 P/T 2 (KO, SP)

#007881 U

DNTL ONE #039555 1875 W LA HABRA BLVD (562) 266-0033 P/T 1 (SP) U GENTLE DENTAL 331 N HARBOR BLVD (562) 694-3511 F/T 1 P/T 4 (SP)

#005462

HARBOR DNTL CARE 1150 E IMPERIAL HWY (714) 992-2200 P/T 1 (JA, SP, KO)

#009542

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U

KYUNG YU, DDS #031239 1370 S BEACH BLVD STE E (562) 694-5850 F/T 1 (KO, SP) LA HABRA MOD DNTY #035596 1701 W IMPERIAL HWY STE B (562) 690-5729 F/T 1 P/T 2 (SP, VI) U LA HABRA SMILES DNTL #029119 1250 W WHITTIER BLVD (562) 266-9277 P/T 1 (PE, SP) U LA JOLLA CUNNINGHAM DDS #018814 7300 GIRARD AVE STE 206 (858) 454-4114 P/T 1 U

HARMONY DNTL #030828 4130 LA JOLLA VLG DR STE 203 (858) 550-8000 P/T 1 (SP, PE) U U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

49

LA JOLLA COSM/FAM #013483 470 NAUTILUS ST STE 212 (858) 459-5591 P/T 1 (SP, VI, RU, GE) LA JOLLA DNTL ARTS 7540 FAY AVE (858) 729-9808 F/T 1 (SP, HI)

#013282

#002493 U

WESTERMEYER, DDS #058501 11900 LA MIRADA BLVD STE 7 (562) 947-3761 F/T 1 (SP)

LA JOLLA DNTL #005295 8950 VILLA LJ DR STE B120 (858) 455-9614 P/T 1 (SP, PE)

LA MIRADA FAM DNTL 13922 IMPERIAL HWY (562) 926-7025 F/T 1 P/T 1 (SP)

#175301

LA JOLLA VILL DNTL #023956 8950 VILLA LJ DR STE B207 (858) 558-3490 F/T 1 (SP)

LA MIRADA FAM DNT 15071 IMPERIAL HWY (562) 947-7000 P/T 2 (SP)

#027152

RENAISSANCE DNTL #040333 4150 RGNTS PARK ROW STE 130 (858) 453-2070 F/T 1 (RU, PE, JA, SP) U

MAGDY & ALINA GAD #359401 12252 LA MIRADA BLVD (562) 943-0151 P/T 2 (SP) U

SAMUEL HAYATT DMD #040222 4130 LA JOLLA VLG DR STE 105 (858) 455-7777 P/T 1 U

NEW AGE DENTAL 14545 TELEGRAPH RD (562) 777-1188 F/T 1 (SP, PE)

LA MESA AFFINITY DNTL LA MESA #005734 8881 FLETCHER PKWY STE 325 (619) 697-2800 F/T 2 P/T 2 (SP)

LA PALMA REGINA TAN, DDS INC #347501 30 CENTERPOINTE DR STE 10 (714) 994-0888 F/T 2 (TA, SP) U

GNT DENT-GROSSMONT #266701 5565 GRSMNT CTR DR STE 459 (619) 464-3383 F/T 5 P/T 3

LA PUENTE AMERICAN DNTL CARE #031205 1206 N HACIENDA BLVD (626) 917-8630 F/T 1 (SP, CH) U

GREAT SMILES #024427 5208 JACKSON DR STE 108 (619) 466-4448 P/T 1 U JAVADI SMILES #037728 5308 LAKE MURRAY BLVD STE C (619) 464-4411 F/T 1 (PE, SP) U LA MESA FAM DNTL #3C1401 5680 LAKE MURRAY BLVD STE B (619) 465-3393 F/T 1 (PE) SMILECARE-LA MESA #003167 5601 GRSMNT CTR DR STE 120 (619) 462-2272 F/T 1 P/T 9 (SP, HI) LA MIRADA BEST CARE DENTAL #013855 15651 IMPERIAL HWY STE 206 (562) 947-2559 F/T 1 (KO, SP) U BRIGHT DENTAL #017925 12675 LA MIRADA BLVD STE 315 (562) 944-4745 F/T 1 P/T 1 (IT, KO, SP) U EYNALD DUARTE, DDS #025607 13960 VALLEY VIEW AVE (562) 944-8244 F/T 1 (SP, TA)

50

IMPERIAL DENTAL 15769 IMPERIAL HWY (562) 902-9898 F/T 2 (SP, AR)

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#012760 U

LA VERNE BRIGHT NOW! DENTAL-LAVERNE #041125 2497 FOOTHILL BLVD STE E (909) 451-0329 F/T 1 P/T 8 DNTL CARE OF LA VERNE #172701 2323 FOOTHILL BLVD (909) 596-1861 P/T 1 (SP, TA, CH) U LAVERNE DNTL #006423 2216 FOOTHILL BLVD (909) 392-3899 F/T 2 P/T 2 (AM, IN, SP) U LADERA RANCH 7 DAY DENTAL #035098 27702 CRWN VLY PKWY STE A2 (949) 365-1900 P/T 5 (VI, SP) LAGUNA BEACH LEVINGSTON, DDS INC 385 N COAST HWY (949) 494-7115 P/T 1 (SP) LAGUNA BEACH DNTL 31796 COAST HWY (949) 415-1020 F/T 1 P/T 1 (SP)

#024253

#001503 U

LAGUNA HILLS AIDA SHAHANGIAN, DDS #029956 23961CLE DE LA MAGDALENA 431 (949) 588-7525 F/T 1 (SP)

FAIRGROVE FAM DENT 15260 FAIRGROVE AVE (626) 968-4733 P/T 1 (SP, VI, CH)

#031436

AKASH LAPSI, DDS #028913 23521 PASEO DE VALENCIA 300 (949) 770-7766 F/T 1 (SP, HI, AR, PE) U

SMILESWEST 15448 AMAR RD (626) 810-8222 P/T 2 (SP, AM)

#002085

BRILLIANT SMILE #014941 23024 LAKE FOREST DR STE A (949) 716-7166 F/T 1 (SP, PE, GE) U

VIJAY PHARAR, DDS 17311 VALLEY BLVD # D (626) 810-2444 F/T 1 (SP)

#003823

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LA QUINTA BRIGHT NOW! DENTAL #019230 79255 HIGHWAY 111 STE 1 (760) 771-1200 F/T 1 P/T 5 (SP) U JEFFERSON DENTAL #034686 79800 HIGHWAY 111 STE 109 (760) 775-0600 F/T 2 (SP) LA QUINTA DNTL #000631 78595 HIGHWAY 111 STE 300 (760) 771-0300 F/T 1 P/T 1 (SP, CH)

DNTL ARTS CENTER #040897 24953 PASEO DE VALENCIA, #C (949) 837-7112 F/T 1 (12) U SAGHATCHI, DDS #017065 26534 MOULTON PKWY STE D (949) 831-8100 P/T 1 (PL, PE, SP, GE, IT, TR) U STENGER DDS INC #031127 24022 CALLE DE LA PLATA #450 (949) 830-0074 P/T 2 (SP, PE, CH, TA) KENNY KIM, DDS #041127 24953 PASEO DE VALENCIA #13C (949) 770-4275 P/T 1 U LAGUNA DNTL #045283 23595 MOULTON PARWAY, STE I (949) 454-0499 F/T 1

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

OAKBROOK DNTL CNTR #009528 24261AVENIDA DELA CARLOTA Q4 (949) 951-7800 F/T 1 (SP) U ROYAL DENTAL #045275 25401 ALICIA PKWY STE J (949) 587-3010 F/T 1 RUXANDA GHIBU, DDS #3C0101 24401 RIDGE ROUTE DR # A107 (949) 588-2112 F/T 1 (SP, RO) S C DNTL CARE #004941 22972 MOULTON PKWY STE 106 (949) 770-3010 P/T 1 (SP, PE, FR) U SETH DNTL CARE #042875 25381 ALICIA PKWY STE R (949) 586-2828 P/T 1 (SP, HI) U TADROS DENTISTRY 23030 LAKE FOREST DR (949) 916-0568 F/T 1 (AR, SP)

#045447

LAGUNA NIGUEL CHOICE DNTL CARE #014792 30262 CROWN VALLEY PKWY # E (949) 363-0018 F/T 1 (AR, PE, FR, SP, TR) DNTL 2000 #030532 30012 CROWN VALLEY PKWY # B (949) 495-2866 P/T 1 (HI, PE, SP) U HEATHER RIDGE DENT #043625 27150 ALICIA PKWY STE J (949) 362-4900 P/T 1 (SP, VI) U LAGUNA NIGUEL DNTL #001925 27901 LA PAZ RD STE D (949) 389-9195 F/T 1 P/T 1 (VI, SP) U RANCHO NIGUEL DNTL #170601 30140 TOWN CENTER DR (949) 249-4180 F/T 3 P/T 1 (SP, VI) SEA COUNTRY DENTAL #1C2701 32341 GOLDEN LANTERN STE B (949) 496-7910 F/T 3 P/T 1 (GE, VI) SOBHI BATNIJI, DDS #304801 30231 GOLDEN LANTERN STE D (949) 363-1200 P/T 1 (SP, AR, FR) LAGUNA WOODS 7 DAYS DENTAL #1C8101 24310 MOULTON PKWY STE C1 (949) 859-3988 F/T 2 (VI, PE, CH, SP) LEISURE DENTAL #014934 24102 EL TORO RD STE A (949) 830-6510 F/T 1 P/T 1 (12, HI, SP, CH, VI, AR) U

LAKE ELSINORE DIAMOND DNTL & ORTHO #041083 31500 GRAPE ST STE 8 (951) 471-1628 P/T 1 (PE, SP) U LAKE ELSINORE DNTL #187401 32235 MISSION TRL STE 8 (951) 674-6808 F/T 2 (SP, PE) MARKETPLACE DNTL #015327 29273 CENTRAL AVE STE A (951) 245-8664 F/T 2 P/T 1 (SP) U OAK GROVE DNTL #017778 18285 COLLIER AVE STE B (951) 471-0034 F/T 1 P/T 2 (SP) U RICHARD PAUL, DDS 31762 MISSION TRL # 1 (951) 674-8641 F/T 1 (SP)

#040135

TUSCANY DENTAL #161201 361 RAILROAD CANYON RD STE A (951) 471-1400 P/T 1 (SP) U LAKE FOREST HERITAGE DNTL 22373 EL TORO RD (949) 951-5503 P/T 2 (SP, JA, CH)

#017525 U

LAKE FOREST DNTL #0C4801 23704 EL TORO RD STE A (949) 770-9355 P/T 2 (SP) U LAKE FOREST DNTL #034498 25411 TRABUCO RD STE 112 (949) 581-1000 P/T 1 (AR, SP, IT) U MARINA DENTAL #013278 23591 EL TORO RD STE 130 (949) 206-9508 F/T 1 (SP) U MORGAN DENTAL #028916 23572 EL TORO RD STE E (949) 206-9000 P/T 1 U SMILECARE DNTL 23622 ROCKFIELD BLVD (949) 837-2766 F/T 1 P/T 13 (SP) LAKEWOOD ANDREW CHEN, DDS 20147 PIONEER BLVD (562) 924-0558 F/T 1 (SP)

#013347 U #043317 U

CANDLEWOOD SMILES #035364 4443 CANDLEWOOD ST (562) 634-5042 P/T 3 (SP) U

JITEN VASA, DDS #329201 11455 CARSON ST STE E (562) 860-7116 F/T 1 (HI, SP) LAKEWOOD CERRITOS #035081 5819 ADENMOOR AVE (562) 804-2296 F/T 1 P/T 2 (KO, TA, PE, HI, VI, SP) U LAKEWOOD DNTL ARTS #052901 5555 DEL AMO BLVD (562) 866-1735 F/T 3 (SP) LAKEWOOD FAMILY DNTL #043229 5203 LAKEWOOD BLVD (562) 531-7373 F/T 2 P/T 2 (AR, SP) U LAKEWOOD MOD DNT 5507 WOODRUFF AVE (562) 920-9050 P/T 1 (VI, TA, SP)

#042379 U

LAKEWOOD PLAZA DNTL #015836 4346 SOUTH ST (562) 408-3500 P/T 6 (SP) U NEW SMILE DNTL CARE #021525 21012 NORWALK BLVD (562) 860-8828 P/T 2 (KO, SP) LANCASTER BUZNIKOV, DDS CORP #028314 1331 W AVENUE J STE 201 (661) 645-1019 P/T 1 (PL, RU, SP) AMER BRIGHT DENTAL 44810 ELM AVE (661) 945-2645 F/T 1 P/T 1 (TA)

#041018

BRIGHT NOW DENTAL #021132 43456 10TH ST W (661) 945-2900 F/T 2 P/T 9 (PE, AM, SP) U DESERT BREEZE DNTL #013522 44404 16TH ST W STE 205 (661) 942-1474 P/T 1 (SP) ELITE DNTL CARE #024626 44439 NORTH 17T ST W #201 (661) 723-1461 P/T 1 (SP, KO) U FAMILY DNTL PRACTICE #023899 44558 10TH ST W (661) 723-1111 F/T 1 P/T 1 (SP, TA) HI DESERT DNTL CENTER #001819 1745 W AVENUE K STE C (661) 723-5400 F/T 1 P/T 2 (RU, SP, TA) U SAIDARA, DDS 2030 W AVENUE J (661) 949-6757 F/T 2 (SP, PE)

#378501

D & D DNTL OFFICE #013223 4180 WOODRUFF AVE (562) 938-9514 F/T 1 P/T 1 (SP, VI) U U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

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ORAL PLUS DENTAL #039193 43845 10TH ST W STE 1A (661) 948-9646 (AR, FR, AM, SP) U

DAVID SUH, DDS INC 25609 NARBONNE AVE (310) 326-8572 F/T 1 (JA, SP, KO)

SMILECARE-LANCASTER #001505 1228 W AVENUE K # E3 F2-6 (661) 949-1970 F/T 2 P/T 6 (SP) U

NARBONNE DNTL CARE #036807 25107 NARBONNE AVE (310) 539-8392 F/T 1 P/T 1

TROMBATORE & ABEDINI #037979 3840 WOODRUFF AVE STE 104 (562) 425-0545 F/T 2 (SP) U

WESTERN DNTL SVS #039638 44407 CHALLENGER WAY (661) 341-3100 P/T 8 U

PCH DENTAL #0C6101 2207 PACIFIC COAST HWY (310) 534-2633 F/T 1 (CH, SP, AR, 12) U

JASBIR BATRA DDS INC #000901 925 E SAN ANTONIO DR STE 10 (562) 428-4678 P/T 1

LAWNDALE ALL SMILE DNTL CARE #024561 15228 HAWTHORNE BLVD (310) 679-8000 F/T 1 (SP, TA, AR)

SHANNON YOON, DDS #008858 25124 NARBONNE AVE STE 202 (310) 530-3260 F/T 1 (SP, KO)

KNOLLS DNTL #388301 3932 LONG BEACH BLVD # A (562) 427-3890 P/T 1 (12, CH, SP) U

BAY DENTAL #012887 16910 HAWTHORNE BLVD (310) 542-4333 F/T 1 P/T 1 (HI, SP)

LONG BEACH ACCU DNTL 6413 E SPRING ST (562) 938-8388 P/T 1 (SP, VI)

#018976

KOSAL KOM, DDS #012682 2338 E ANAHEIM ST STE 108 (562) 434-9980 F/T 1 (TH, LO, VI, CA)

BRIGHT NOW DENTAL #020267 16128 HAWTHORNE BLVD (310) 370-4511 F/T 1 P/T 8 (TA, SP) U

ALAN GRANT, DDS #080501 3620 LONG BEACH BLVD STE B6 (562) 426-6458 F/T 2 P/T 2 (SP, TA, KO) U

DNTL CTR OF REDO BCH #002783 16819 HAWTHORNE BLVD (310) 921-3938 P/T 1 (AR, AM, SP, PE) U

ATLANTIC DNTRY&BRACES #017748 3530 ATLANTIC AVE STE 103 (562) 988-2700 F/T 2 P/T 2 U

HANNA DENTISTRY #013518 14314 HAWTHORNE BLVD (310) 676-6400 F/T 2 (AR, SP) U

BASHAR KOMOC, DDS 3318 E ANAHEIM ST (562) 986-5570 F/T 1 (RU, GE, SP)

K & E FAMILY DENTAL #037292 4181 REDONDO BEACH BLVD (310) 371-6513 F/T 1 (SP)

BEAUTIFUL SMILES DNTL #011675 1729 TERMINO AVE (562) 494-8400 P/T 1 (SP) U

MAGED NESSIM, DDS #017509 15655 HAWTHORNE BLVD # A-B (310) 675-7111 P/T 1 (AR) U

BIXBY KNOLLS DNTL #019606 3903 LONG BEACH BLVD (562) 427-2478 F/T 1 P/T 1 (TA, SP, PE)

VADADENT MOD DNTL #043895 16002 HAWTHORNE BLVD (310) 371-4104 F/T 1 P/T 1 (VI, PE, TA, SP) U

BONDADES FAM DNTL #032041 6950 N PARAMOUNT BLVD (562) 531-9711 P/T 2 (HI, SP)

LEMON GROVE GROVE DNTL 7733 PALM ST STE 105 (619) 464-7099 P/T 1 (SP)

CARSON DNTL & COS #035739 1200 E CARSON ST STE 300 (562) 988-7788 F/T 1 (SP, PE) U

#2C7801

SMILEBURST DNTRY #2 #021008 7040 BROADWAY # A27 (619) 667-1088 P/T 2 (SP, TA) U LOMITA A DENTISTRY 1816 LOMITA BLVD (310) 326-4117 P/T 1 (KO, SP)

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#001898

#037047

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#024563

CALIMA, DMD 389 REDONDO AVE (562) 621-9796 F/T 1 (TA, SP)

#002517

DR CAMPBELLL 2211 E 7TH STREET (562) 439-6562 F/T 2 P/T 1 (VI, SP)

#017218

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FIROZ HAKAKHA, DDS 1183 E ANAHEIM ST (562) 599-6600 F/T 1 P/T 1 (SP, HE)

#0C6201 U

LONG BEACH DNTL ARTS #005610 6226 E SPRING ST STE 200 (562) 421-3336 P/T 1 (SP) U LONG BEACH DNTL #007631 659 REDONDO AVE (562) 439-0494 F/T 1 P/T 1 (KM, SP, TA, CH) LONG BEACH DENTAL! 308 ORANGE AVE (562) 436-4214 P/T 1 (SP)

#019416

NESSIM DDS INC #002864 3440 ATLANTIC AVE STE 2 (562) 424-0724 P/T 1 (SP, AR) MARK COCCHI, DDS #359201 2865 ATLANTIC AVE STE 119 (562) 426-0778 F/T 1 (IT, SP, GE) NEWPORT DENTAL #023648 3383 LONG BEACH BLVD (562) 424-1600 F/T 1 P/T 13 (SP) U OMEGA FAMILY DENTAL #015864 816 W WILLOW ST (562) 595-7077 F/T 1 (VI, 12, CH, SP) U MOHAN, DDS 5399 ORANGE AVE (562) 422-9698 F/T 1 (SP)

#001922

SPECIALTY DNTL GRP #045510 1777 N BELLFLOWER BLVD #102 (562) 494-9090 F/T 1 U

SUNG Y. LEE DMD INC #026462 FAMILY DNTL CARE #0C6301 4301 ATLANTIC AVE STE 4 U 1327 LONG BEACH BLVD (562) 426-9308 (562) 218-5555 P/T 1 (SP, KO) F/T 1 P/T 1 (SP, PE) U U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

UNITED FAMILY DENTAL #000633 141 E WILLOW ST STE P (562) 988-2888 F/T 3 (SP) U

AFSHIN GOLYAD, DDS #016570 12340 STA MON BLVD STE 241 (310) 820-7010 P/T 1 (SP, PE, TA) U

BEVERLY HILLS PRES DNTL #009538 1125 S BEVERLY DR STE 400 (310) 286-7447 F/T 1 (PE, SP) U

UNIVERSAL CARE DENTAL #127801 2360 PACIFIC AVE (562) 595-0731 F/T 4 P/T 16 (KM, TA, SP, VI) U

AIRPORT CNTR FAM DNT #007538 5304 W CENTURY BLVD (310) 215-1455 P/T 1 (SP) U

BOYLE HEIGHTS FAM DNTY #021481 2110 E CESAR E CHAVEZ AVE (323) 268-8308 F/T 1 (SP, KO)

UNIVERSAL CARE DNTL #002792 3325 PALO VERDE AVE STE 208 (562) 429-1642 F/T 3 P/T 7 (VI, SP, TA, CH, CA, 12)

ALEGRIA DNTL CENTER #029547 4214 BEVERLY BLVD STE 209 (213) 384-8400 F/T 2 (TA, AM, RU, AR, SP) U

BRENTWOOD DNTL #002507 11980 SAN VTE BLVD STE 660 (310) 979-8345 P/T 1 (SP, TA, PE) U

SANTOS, DDS INC #013333 3712 ATLANTIC AVE STE C (562) 426-1298 P/T 2 (SP, TA)

ALI KHOSROVANI DDS 4905 YORK BLVD (323) 255-8774 F/T 1 (SP, AM, PE)

#023890

BRIGHT NOW DENTAL #043761 4550 W PICO BLVD STE C309 (323) 602-0590 F/T 1 P/T 5 U

VILLAGE DNTL CNTR #084001 4200 N LAKEWOOD BLVD (562) 420-1701 F/T 4 P/T 1 (SP, TA, PE) U

OGANYAN, DDS INC #002868 1727 N VERMONT AVE STE 109 (323) 644-3366 F/T 1 (RU, AM) U

BRIGHT NOW DENTAL #044525 8611 S SEPULVEDA BLVD (310) 846-0172 P/T 5 (SP) U

#040553

ALLURE DENTISTRY #040862 1872 S SEPULVEDA BLVD # 2 (310) 444-9121 F/T 1 (SP, PE)

BRIGHT NOW! DENTAL 4251 CRENSHAW BLVD (323) 295-5577 F/T 4 P/T 6 (SP)

W. CST DNTL GRP 1835 XIMENO AVE (562) 453-1111 F/T 1 P/T 1 (SP)

#015647

WESTERN DNTL SVS #039876 1150 E AHAHEIM (562) 435-3390 F/T 3 P/T 34 (PE, SP, KM, VI) U

ALVARADO FAM DNT 811 S ALVARADO ST (213) 383-3314 P/T 2 (SP)

#003544

LOS ALAMITOS MEHTA, DDS #283401 10900 LOS ALAMITOS BLVD (562) 596-8888 P/T 1 U

AMERICAN DENTAL 2033 E FLORENCE AVE (323) 583-8896 F/T 1 P/T 1 (RU, SP)

#024546

BRITE DENTAL #029177 3530 WILSHIRE BLVD STE 150 (213) 487-7771 P/T 1 (SP, KO) U

AMERICAN DENTAL #024550 2716 N BROADWAY STE 214 (323) 221-5931 F/T 1 P/T 1 (RU, SP)

BYUNG CHUL KIM, DDS #270601 765 N VIRGIL AVE (323) 665-5887 F/T 1 (KO, SP)

AMY IWATA, DDS #012441 3756 STA ROSALIA DR STE 504 (323) 293-2600 F/T 1 (JA, SP) U

CA DNTL CARE #152101 11628 STA MON BLVD STE 101 (310) 207-1060 P/T 1 (SP) U

ANGELENOSMILE #043916 10921 WILSHIRE BLVD STE 409 (310) 824-2624 F/T 1 (SP, PE) U

CTR MEDICO/DNTL FAM #000635 514 E WASHINGTON BLVD (213) 749-3934 P/T 2 (RU, SP) U

#040228 U

CHANTISTE BEAL, DDS #030373 5830 OVERHILL DR STE 1 (323) 292-2505 F/T 2

ARAM ARAKELYAN, DDS #018373 2426 W 8TH ST STE 209 (213) 381-3900 P/T 1 (RU, AM, SP)

CHERYL BINGHAM, DDS #349001 11905 S CENTRAL AVE STE 203 (323) 564-7504 F/T 1 (SP)

BARRY KASHFIAN, DMD #125601 2080 CENTURY PARK E STE 1406 (310) 553-1578 P/T 1 (SP, TA)

COMMERCE DENTAL 5542 WHITTIER BLVD (323) 722-8700 F/T 1 P/T 1 (RU, SP)

BENJI BEHROOZAN, DDS #365501 5255 W SUNSET BLVD (323) 463-7252 F/T 1 P/T 1 (PE, SP)

CONTINENTAL DNTL #173201 600 W MANCHESTER AVE STE 2 (323) 750-1582 P/T 1 (SP) U

ENHANCE DENTAL 4300 KATELLA AVE (562) 799-8300 F/T 1 (SP, KO)

#025687

LOS ALAMITOS DNTL 3724 KATELLA AVE (562) 936-0071 F/T 1 P/T 1

#187701

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MCWALTERS, DDS INC #011636 3662 KATELLA AVE STE 206 (562) 598-7914 P/T 1 (KO, SP) U LOS ANGELES A PLUS DENTISTRY #040227 3756 STA ROSALIA DR STE 517 (323) 298-7992 F/T 1 (CL, SP) QUINGCO, DDS #003153 1127 WILSHIRE BLVD STE 1103 (213) 250-3998 F/T 1 (TA, SP) U REGALA FAM DENT #011686 4065 WHITTIER BLVD STE 201 (323) 268-3877 F/T 1 (TA, SP)

PAN DMD.INC 3346 N EASTERN AVE (323) 227-1800 F/T 1 P/T 1 (CH, SP, VI)

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BRIGHTER DENTAL #001814 6221 WILSHIRE BLVD STE 507 (323) 939-7899 P/T 1 (TA, PE, SP)

#012947 U

AFAR & GHASRI DNTL #022103 6200 WILSHIRE BLVD STE 1508 (323) 931-2000 P/T 2 (RU, SP, PE, TA) U U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

53

COS DNTL OF WESTWOOD #036938 1762 WESTWOOD BLVD STE 460 (310) 474-3765 P/T 1 (PE, SP) U

DR MAKAR FAM DENT #012470 3875 WILSHIRE BLVD STE 1104 (213) 380-0200 F/T 1 (AR, SP)

GREEN DENTAL #040661 3054 W 8TH ST STE 106 (213) 387-2864 F/T 1 (SP) U

CROWN DNTL 6907-A LA TIJERA BLVD (310) 645-0336 P/T 1 (SP, KO)

#010319

DR NAMIAN FAM DENT #001749 609 S ATLANTIC BLVD (323) 980-9768 F/T 1 P/T 1 (PE, SP) U

HAPPY DNTL CARE 5534 YORK BLVD (323) 344-0444 F/T 2 (SP, AM, PE)

CRYSTAL DENTAL 2206 S FIGUEROA ST (213) 748-8448 F/T 1 P/T 1 (CH, SP, PE)

#028012

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TSOLAKYANS DNTL 3161 LOS FELIZ BLVD (323) 663-2606 F/T 2 (SP, RU, AM, PE)

#001509

DR. KIM’S CA DTL GRP 936 CRENSHAW BLVD (323) 934-2804 P/T 1 (SP, JA, KO, CH)

#036570

E L A FMLY DNTSTRY 4410 WHITTIER BLVD (323) 881-0881 P/T 1 (SP)

#018369

HIGHLAND PARK DNTL #121001 5740 1/2 YORK BLVD (323) 257-0915 F/T 1 P/T 1 (RU, SP)

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EMILY LEE, DDS #366001 3756 STA ROSALIA DR STE 200 (323) 299-2994 F/T 1 (SP)

HOLLYWOOD FAM DENT #028711 8205 STA MON BLVD STE 12 (323) 650-1001 F/T 2 (AM, RU, SP)

DANESHRAD, DDS #120201 11850 WILSHIRE BLVD STE 101 (310) 477-8766 F/T 1 (PE, SP, TA)

EXCEL DNTL MAN CORP #031398 3980 GLENFELIZ BLVD (323) 663-2050 F/T 1 P/T 1 (RU, SP, AM) U

FAMILI DDS MAGD INC #019946 11500 W OLYPMIC BLV #508 (310) 477-7744 P/T 1 (SP, PE, FR) U

COMPTON DNTL 7110 COMPTON AVE (323) 585-5588 F/T 1 P/T 1 (SP, RU)

HOLLYWOOD SMILE DNTL CENTER #375201 8182 W SUNSET BLVD STE 202 (323) 654-1100 F/T 1 P/T 1 (SP, RU, GE) U

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CULVER DEL REY DNTL #211901 12202 W WASHINGTON BLVD (310) 915-9797 F/T 3 P/T 1 (SP) U CYPRESS DNTL CLINIC 2135 CYPRESS AVE (323) 223-0731 F/T 1 (SP)

#002865

DAN BENYAMINI, DDS 1826 W 7TH ST (213) 484-6660 F/T 1 (SP, PE)

#000637

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DNTL CENTRAL GROUP 3009 S VERMONT AVE (323) 730-7200 P/T 1 (SP, TA, PE)

#010934

DNTL CTR OF HLD PK 5807 N FIGUEROA ST (323) 982-0999 P/T 2 (SP)

#000034

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U

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#184701 U

FLORENCE DNTL #033797 1575 E FLORENCE AVE STE A (323) 537-4121 F/T 1 (SP, PE) U

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FOREVER SMILE DNTL #021502 6200 WILSHIRE BLVD STE 1604 (323) 634-9004 P/T 1 (SP, HE, PE) U

DNTL CTR OF W L A #016574 1964 WESTWOOD BLVD STE 145 (310) 474-5575 F/T 1

FRED NAYSSAN, DDS #002326 10350 STA MON BLVD STE 190 (310) 557-1704 F/T 2 (SP) U

DNTL PARK 753 S VERMONT AVE (213) 385-2875 F/T 1 (KO, SP)

#042336

DNTL PROS 906 N VERMONT AVE (323) 953-7700 P/T 3 (SP)

#011114

GANJI AND KAMANGAR DENTAL #036135 1005 E WASHINGTON BLVD # B (213) 765-0004 F/T 3 (PE, SP) U

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DENTOLOGY FAM DNTL BRES #018546 11444 W WASH BLVD STE B (310) 572-6167 F/T 2 P/T 1 (SP, PE) GANDHI DNTL CORP 2500 W FLORENCE AVE (323) 750-2082 F/T 1 (SP, HI)

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#011293

#353301 U

GENTLE CARE DNTL INC #228301 3500 WHITTIER BLVD STE 101 (323) 264-8834 F/T 1 (SP) U GENTLE FAMILY DENTIST #027694 5207 WHITTIER BLVD (323) 269-0266 F/T 2 (SP) U GEWAID PROF DTL CORP #010260 231 W VERNON AVE STE 107 (323) 233-5906 F/T 1 (SP, AR)

AMBARTSUMYAN, DDS #017529 5222 1/2 W SUNSET BLVD (323) 666-2222 F/T 1 (RU, AM) U ANARAKI, DDS INC #022394 3875 WILSHIRE BLVD STE 901 (213) 383-2700 F/T 1 (PE, SP)

HOLLYWOOD VINE DNTL OFFICE #001915 5280 HOLLYWOOD BLVD (323) 469-9169 P/T 1 (SP, AM, RU) HR IMANKHAN DDS INC. #036164 3356 E OLYMPIC BLVD (323) 269-5221 F/T 1 (SP, PE) U IMPRES DNTL CNTR 1435 S VERMONT AVE (213) 739-3096 P/T 1 (SP, HI)

#016202

JAMES BLACK, DDS 3015 CRENSHAW BLVD (323) 731-0801 F/T 2 (SP, KO)

#005901 U

JAY J CHOBDEE DDS #040123 2105 BEVERLY BLVD STE 101 (213) 484-1288 F/T 2 (SP, TA) U MANEEPETASUT, DMD INC #020321 4606 HOLLYWOOD BLVD STE B (323) 663-3850 F/T 1 (TH, SP) CAPISTRANO, DDS #002866 628 N VERMONT AVE STE 5 (323) 644-3650 F/T 1 (TA)

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

JOHN M LEGASPI, DMD #018594 6075 S VERMONT AVE (323) 758-3131 P/T 1 (TA, SP)

SCHNEIDER, DMD #033266 10921 WILSHIRE BLVD STE 809 (310) 208-6813 F/T 1 P/T 1 (SP) U

ROBERTO PARRA, DDS #023304 279 S ATLANTIC BLVD # B (323) 266-0899 F/T 1 P/T 1 (SP) U

KENNETH CHANG, DDS #219901 4026 W OLYMPIC BLVD (323) 930-1744 F/T 1 (SP)

VASQUEZ DMD INC #038592 1125 S BEVERLY DR STE 750B (310) 277-7645 F/T 1 (SP) U

SAMET DNTL CORP 5877 S VERMONT AVE (323) 759-1523 F/T 2 (SP)

KEROMINA DNTL OFFICE #002332 4777 FISHER ST (323) 268-3395 F/T 1 (SP, AR)

NELSON WALKER, DDS #320101 3756 STA ROSALIA DR STE 317 (323) 290-5340 F/T 1 (SP) U

SAMI NOUHAD, DDS #175401 7080 HOLLYWOOD BLVD STE 817 (323) 466-3541 F/T 1 (SP, AR, FR) U

KHODADADI, DDS #029517 6222 W MANCHESTER AVE # B (310) 670-7800 P/T 1 (PE, SP) U

NEW CENTURY DNTL #043719 6333 WILSHIRE BLVD STE 207 (323) 653-5484 P/T 1 (AM, RU)

SAYEDNA, DDS INC #016908 1700 WESTWOOD BLVD (310) 470-3095 F/T 1 (PE, GE)

KREST FAMILY DENTAL #3C5401 8740 S SEPULV BLVD STE 130 (310) 410-9494 F/T 1 P/T 3 (PE, SP) U

NEWPORT DENTAL 3635 E 1ST ST (323) 269-7367 F/T 3 P/T 4 (SP, CH, AR)

#008727

SHAUNA LEE, DDS #002788 4146 E OLYMPIC BLVD STE F (323) 269-8007 F/T 1 (SP) U

LA BREA FAMILY DNTL #039893 3400 S LA BREA AVE (323) 734-2284 F/T 1 (SP, KO) U

NORMANDIE DNTL CLINIC #021424 1690 W ADAMS BLVD (323) 730-0924 F/T 1 (RU, AM, PE, KO, SP)

SHAW ADAMS DNTL #092401 5220 W WASH BLVD STE 103 (323) 933-5641 F/T 2 (SP)

LA PAZ CLINIC #018953 1107 S ALVARADO ST STE 102 (213) 380-9999 F/T 3 P/T 1 (AM, PE, SP) U

OJAN GHALCHI, DMD 281 COLUMBIA AVE (213) 483-3020 F/T 1 (PE, SP)

#009138

SID SOLOMON, DDS #393401 1620 WESTWOOD BLVD (310) 475-5598 P/T 1 (SP, PE, FR)

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#041284

LADERA DNTL 5814 RODEO RD (310) 836-7200 F/T 1 (FR, HI, SP)

#018593

FARHOODI, DDS 3169 BARBARA CT (323) 876-6440 (PE, SP)

#356101

SILVERLAKE DENTAL #013682 2390 GLENDALE BLVD (323) 913-9900 F/T 2 (HE, TA, SP, PE, AM, RU) U

LE CHIC DENTIST 3755 SAWTELLE BLVD (310) 398-5400 F/T 1 P/T 1 (SP, PE)

#026779 U

PATRICK CLERK, DDS #042201 1200 WILSHIRE BLVD STE 205 (213) 481-1252 F/T 1 (SP) U

SMILE MAKERS #024589 998 S ROBRSON BLVD STE 103A (310) 358-1200 F/T 1 (PE, SP) U

ALEXANDER FAM DNT #042576 1307 N VERMONT AVE STE C (323) 644-1288 P/T 1 (TA) U

PERSONAL DNTL OFFICE #014858 6222 WILSHIRE BLVD STE 103 (323) 933-4444 P/T 1 (RU, PE, SP) U

SMILECARE-L A #003951 1440 W MANCHESTER AVE (323) 753-1141 F/T 1 P/T 10 (SP, KO, FR) U

MANOJ AMIN, DDS 2613 W SUNSET BLVD (213) 484-1845 F/T 1 (HI, SP)

#345501 U

LAZO JR, DDS #014615 3827 W SUNSET BLVD STE A (323) 660-5630 F/T 1 (TA) MARK A MOSES, DDS 1839 W IMPERIAL HWY (323) 757-1761 F/T 1 (SP)

#026085

PICO DNTL 1561 W PICO BLVD (213) 251-9994 P/T 1 (PE, SP)

#034767 U

SMILES LA 745 S KERN AVE (323) 263-2125 P/T 2 (SP)

#382501 U

PICO LA CIENEGA DNTL #005954 8530 W PICO BLVD (310) 854-6107 F/T 1 (PE, SP, AM)

SMILES R US DNTL CRE #012579 12756 W WASHINGTON BLVD (310) 574-8574 F/T 1 (PE, SP)

#017531

ST GEORGE DNTL CLINIC #006471 6767 W SUNSET BLVD STE 25 (323) 469-8816 P/T 1 (SP, RU, AR) U

PREMIER DNTL CLINIC 1115 COLORADO BLVD (323) 255-4600 P/T 1 (AM, SP, PE)

MARK LASKA, DDS #009693 3460 WILSHIRE BLVD STE 210 (213) 386-3348 F/T 1 P/T 1 (KO, TA, SP) U

RAMIN RAVAEI, DMD #029955 1835 S LA CNEGA BLVD STE 200 (310) 836-0300 F/T 1 (PE, TA, SP, RU)

MAKHANI, DDS #372501 6200 WILSHIRE BLVD STE 1606 (323) 933-7744 F/T 1 (SP, PE) U

RAMIN TOUR DDS INC 907 N VIRGIL AVE (323) 661-8384 P/T 1 (FR, TA, SP, PE)

#006734

STANFORD DNTL 807 E 12TH ST STE 211 (213) 747-7888 P/T 1 (SP, KO)

#036961 U

STEVEN STANLEY, DDS #372901 6221 WILSHIRE BLVD STE 307 (323) 931-1446 F/T 1 (RU)

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55

THEODORE STOMEL, DMD #014328 6333 WILSHIRE BLVD STE 208 (323) 653-1300 P/T 2 (RU, PE)

W COAST DTL GRP 6TH ST #017534 1725 W 6TH ST (213) 413-5151 P/T 2 (RU, SP) U

PARK DNTL CORP #039584 3130 W OLYMPIC BLVD STE 320 (323) 766-2888 F/T 1 (KO) U

TOTAL CRE DNTL&ORTHO #026845 5703 S VERMONT AVE (323) 751-5600 F/T 2 P/T 1 (SP, CH) U

WESTERN DNTL SVS 1565 S WESTERN AVE (323) 734-8843 F/T 2 P/T 16 (SP)

#039636

WOODSIDE DENTAL #002540 1273 WESTWOOD BLVD (310) 824-0055 P/T 1 (SP, PE, TA)

#198001

WESTERN DNTL SVS 906 S SOTO ST (323) 263-9063 F/T 8 P/T 8 (SP, TA)

#039892

UNITED FAM DNTL 5109 WHITTIER BLVD (323) 265-2222 F/T 1 (SP, PE, HI)

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UNIVERSAL CARE DENTAL #127601 1111 W 6TH ST STE 120 (213) 895-0009 F/T 4 P/T 9 (SP, TA) U

WESTWOOD DENTAL #021495 10884 STA MON BLVD STE 401 (310) 446-4410 F/T 1 (VI, SP, PE) U

UNIVERSAL CRE DNTL 2839 N EASTERN AVE (323) 987-1020 F/T 3 P/T 6 (SP, TA)

#028015

WESTWOOD DNTL ARTS CTR #042903 10921 WILSHIRE BLVD STE 501 (310) 443-3030 F/T 2 (PE, SP) U

VENICE DNTL INC 12456 VENICE BLVD (310) 390-2423 F/T 2 (SP, AR)

#005210

WESTWOOD DNTL CARE #028254 10921 WILSHIRE BLVD STE 601 (310) 208-8551 F/T 1 (SP, PE) U

VERMONT DNTL CARE 8914 S VERMONT AVE (323) 750-3370 F/T 1 (SP)

#036095

WESTWOOD VILGE DNTL #023825 951 WESTWOOD BLVD (310) 824-2225 P/T 1 (FR, PE, SP) U

VERT DNTL GRP IMP 732 S VERMONT AVE (213) 386-3366 F/T 1 (KO, TA, SP)

#012342

WHITTIER DNTL #001747 2901 WHITTIER BLVD STE B (323) 526-1992 P/T 2 (SP, KO, PE) U

OLSHANSKY, DDS INC 1136 N FAIRFAX AVE (323) 650-6936 F/T 1 (HE, SP, RU, PL)

#016502

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WILLIAM FAULKNER, DDS #183501 5870 CRENSHAW BLVD STE 513 (323) 292-0231 F/T 1 (SP) U

VILLACIS DNTL CORP #029230 12027 VENICE BLVD STE A (310) 313-5150 P/T 1 (SP)

WILLIAM GINZBURG, DDS #0C7201 3130 S SEPULVEDA BLVD STE D (310) 268-0646 F/T 1 (TA, PE, SP, RU, VI) U

WARREN GEROSA, DDS #017097 8540 S SEPULV BLVD STE 1212 (310) 645-2886 P/T 1 U

WILSHIRE CENTER DNTL #044501 3932 WILSHIRE BLVD STE 100 (213) 386-3336 F/T 5 P/T 4 (SP) U

WATTS HEALTHCARE CORPORATION 10300 COMPTON AVE (323) 357-6600 F/T 1 P/T 1 (SP)

WILSHIRE DNTL CARE, #010344 6200 WILSHIRE BLVD STE 1508 (323) 938-6137 F/T 1 P/T 2 (SP, TA, PE, RU) U

WEST COAST DENTAL 5162 WHITTIER BLVD (323) 415-6161 P/T 1 (SP, TA)

#328501 U #015831 U

WEST COAST DNTL #044490 2604 S VERMONT AVE STE F (323) 731-3333 P/T 2 (CH, SP, KO) U W COAST DNTL GP #044349 1423 E GAGE AVE STE A (323) 983-4000 P/T 2 (SP, CH) U

56

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WILSHIRE DNTL #012440 6200 WILSHIRE BLVD STE 1104 (323) 525-1819 F/T 1 (AM, PE, RU, CH) WILSHIRE SMILE STUDIO #001664 6200 WILSHIRE BLVD STE 1609 (323) 937-5773 F/T 1 P/T 1 (SP, TA, HE, PE) U WINNIE TAN, DDS 2621 E 1ST ST (323) 268-9386 F/T 1 (SP, JA)

#006189

Z DNTL GRP #038015 6320 COMMODORE SLOAT DR 1 (323) 936-9997 P/T 3 (FR, AM, PT, SP, PE, RU) LYNWOOD RODRIGUEZ, DDS 3737 MLK BLVD # 375 (310) 639-9191 F/T 1 (SP)

#021506

SMILESWEST #009863 3150 E IMPERIAL HWY STE 200 (310) 608-7777 F/T 1 P/T 2 (AR, SP, EI, AM) U UNIVERSAL CARE DNTL #3C4301 3680 E IMPERIAL HWY STE 100 (310) 761-8100 F/T 5 P/T 12 (EI, VI, TA, SP) U WEST COAST DENTAL #004203 9910 LONG BEACH BLVD STE A (323) 563-8900 F/T 1 P/T 1 (SP) U MANHATTAN BEACH MANHATTAN BCH DNTRY #2C2701 500 S SEPULVEDA BLVD STE 210 (310) 372-8188 F/T 1 P/T 1 (SP, PE, CH) MANHATTAN VILGE DNTL #2C1401 1200 ROSECRANS AVE STE 210 (310) 414-0620 F/T 1 P/T 1 (SP, KO) U MARINA DEL REY MARINA DENTISTRY INC #021402 4292 LINCOLN BLVD (310) 578-5000 P/T 2 (PE, SP, HI, AR, RU, TA) U MAYWOOD SOUTHEAST DNTL 4332 SLAUSON AVE (323) 588-2141 P/T 3 (SP, CH, TA, GE) SUMMER DNTL 4201 SLAUSON AVE (323) 560-4658 F/T 1 P/T 1 (SP)

#159601 U #031952 U

SUMMER VERANO DNTL #026461 4201 SLAUSON AVE (323) 560-4658 P/T 1 (SP) WESTERN DNTL SVS 4487 SLAUSON AVE (323) 773-9961 F/T 2 P/T 25

#039639 U

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MENIFEE ALL DNTL OF MENIFEE #183201 27192 NEWPORT RD STE 2 (951) 672-9457 P/T 1 (SP, PE) U MENIFEE SMILES DNTRY #026853 30406 HAUN RD STE 740 (951) 679-4624 P/T 2 (SP, KO, VI) U NGUYEN DENT CORP #031663 27174 NEWPORT RD STE 1 (951) 723-8801 P/T 1 (VI) U MEXICALI DENTICENTER #351701 460-1 AVENIDA MODERO (760) 235-4162 F/T 1 (SP) MIRA LOMA GATEWAY DNTL & ORTHO #011174 12571 LIMONITE AVE STE 230 (951) 360-3444 F/T 1 P/T 1 (SP) U LIMONITE DNTL #026696 12363 LIMONITE AVE STE 960 (951) 371-7711 F/T 1 (SP, VI, CH) MIRA LOMA DNTL CTERS #002546 11058 LIMONITE AVE (951) 737-6005 F/T 1 (HI, SP) U MIRA LOMA SMILES #022611 6445 PATS RANCH RD STE G (951) 808-5881 P/T 2 (SP) U MISSION HILLS BRIGHT DNTL #021491 15534 DEVONSHIRE ST UNIT 108 (818) 830-4100 P/T 1 (PE, TA, SP) U DEVONSHIRE DENTAL #021390 15300 DEVONSHIRE ST STE 6 (818) 894-6411 F/T 1 P/T 1 (SP, PE, HI) MISSION HILLS DENTAL #038230 15501SN FRNDO MSSION BVD 104 (818) 365-8600 F/T 1 (PE, SP) U PARVIZ KOHANOFF, DDS #355501 11550 IND HILLS RD STE 281 (818) 361-8777 F/T 1 (SP, PE) U SMILECARE-NORTHRIDGE #003965 10331 SEPULVEDA BLVD (818) 810-3290 F/T 1 P/T 10 (SP) U MISSION VIEJO AVALON DENTISTRY #025211 27725 SNTA MRGARITA PKY #270 (949) 951-0951 F/T 2 (SP, PE, TA, VI) U

CA DNTL CARE #015611 28201 MARGUERITE PKWY STE 10 (949) 347-0302 P/T 1 (SP, RO, JA, PE, PL) U GATEWAY DNTL #023300 24000 ALICIA PRKWY #34 (949) 707-7000 F/T 1 (PE) U GNTL DNTL MIS VIEJO #008877 25523 MARGUERITE PKWY STE C (949) 768-1800 P/T 3 (HI, SP, AR, PE, GE) U VARTANIAN, DDS INC #022891 26302 LA PAZ RD STE 203 (949) 586-5669 F/T 1 U MARGUERITE DNTL CARE #019948 27871 MEDCL CTR RD STE 165 (949) 364-2529 F/T 1 (FR, SP, VI, PE) U MISSION DNTL #014271 26032 MARGUERITE PKWY # A-1 (949) 582-8400 F/T 2 P/T 4 (SP, VI) U MISSION VIEJO DENTAL #021408 23482 ALICIA PKWY (949) 581-0090 F/T 2 P/T 12 (SP, IN, PE, VI) U MISSION VIEJO DNTL #001866 25522 MARGUERITE PKWY # 100 (949) 586-6200 F/T 1 P/T 1 (VI, CH, SP) U RAED FAWAZ, DDS #017152 26902 OSO PKWY STE 190 (949) 582-9206 F/T 1 (SP, AR) SADDLE BACK DNTL CTR #023313 23166 LOS ALISOS BLVD # 230 (949) 457-0223 F/T 1 (AR, PE, TA) U TRABUCO DENTAL #033102 27725 STA MARGARITA PKWY 261 (949) 597-2444 P/T 1 (SP, AR) MONROVIA DNTL CARE 2000 PLUS 148 W FOOTHILL BLVD (626) 358-1833 F/T 1 (PE, SP)

#044638 U

FOOTHILL DNTL CENTER #155501 837 W FOOTHILL BLVD (626) 305-5722 P/T 1 (VI, SP) U MONROVIA MODERN #039133 460 W HUNTINGTON DR (626) 358-3636 P/T 2 U WEST COAST DENTAL #044396 154 W FOOT BLVD STE C-2A (626) 263-3333 P/T 1 (SP) U

MONTCLAIR AMIEL PATEL, DDS 4921 MORENO ST (909) 625-3865 F/T 1

#3C2501

CTR FAM DENT #179501 9197 CENTRAL AVE STE C (909) 398-1107 F/T 1 (CH, SP, TA) JOHNSON FAM DENT #199101 9645 MONTE VISTA AVE STE 305 (909) 621-6002 F/T 2 (SP) MONTEBELLO DANIEL FARKAS, DDS 3301 W BEVERLY BLVD (323) 722-6766 F/T 3 P/T 1 (SP) DNTL VILLE 833 W WHITTIER BLVD (323) 266-1000 P/T 1 (SP)

#210901 U #013595 U

DR DAVIDS FAMILY DENTISTRY #239301 2100 W BEVERLY BLVD (323) 724-9536 F/T 1 (SP) U GREENWOOD DENTAL #156901 1214 1/2 S GREENWOOD AVE (323) 728-3272 F/T 1 (SP, FR) U ROBINS FMLY DNTL CNTR #043917 604 N MONTEBELLO BLVD STE B (323) 721-0799 P/T 1 (12, GE, SP) U MONTEBELLO DNTL CTR #025188 2332 W WHITTIER BLVD (323) 838-8055 F/T 1 (SP, VI, KO) MONTEBELLO FAM DNT #034382 711 W WHITTIER BLVD (323) 278-0170 F/T 1 (SP) U NATIONAL DENTAL 249 E BEVERLY BLVD (323) 726-7500 P/T 1 (AM, SP)

#041615

S GHAZARIAN, DDS #363901 433 N MONTEBELLO BLVD (323) 722-2922 F/T 1 (SP, AM, PE) U SMILECARE-MONTEBELLO #003952 1451 N MONTEBELLO BLVD (323) 724-9955 F/T 2 P/T 14 (SP) U HOVANNISYAN, DDS #021107 2059 W WHITTIER BLVD (323) 727-9898 F/T 1 (RU, GE, AM, SP) U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

57

VISTA SOL DENTAL #014017 1000 W WHITTIER BLVD (323) 346-0555 P/T 1 (SP, FR, PE) U

FAMILY DNTL CENTER #035082 22940 ALESSANDRO BLVD (951) 656-1599 F/T 1 P/T 1 (SP, VI)

EAST MURRIETA DNTL #013121 39209 WINCHESTER RD (951) 304-1348 F/T 1 P/T 2 U

MONTEREY PARK A GARY KELLEYAN DDS #021887 616 N GARFIELD AVE STE 404 (626) 280-4122 F/T 1 (SP)

FAMILY DNTL OFFICE #034810 24760 SUNNYMEAD BLVD STE 103 (951) 242-6242 F/T 1 (KO, SP)

FRIENDLY DNTL CENTER #036403 39252 WINCHESTER RD STE 117 (951) 894-7769 F/T 2 (PE, SP) U

GNTL DNTL MORENO VLY #009130 12800 HEACOCK ST STE A1 (951) 247-2688 F/T 3 P/T 2 (SP, CH, VI)

MADISON SPRINGS DNTL #042703 25285 MADISON AVE STE 107 (951) 698-3585 P/T 1 (KO, SP) U

JAMES DICKEY, DDS #346201 24266 POSTAL AVE STE 100 (951) 242-2600 F/T 1 (SP)

MARGARITA DNTL #017410 39400 MURRIETA HT SPRS #123B (951) 461-7470 P/T 1 (VI, 12, CH)

MORENO DNTL CARE #042022 23750 ALESSANDRO BLVD # O102 (951) 656-0088 P/T 1 (KO, SP, CH) U

MURRIETA DNTL #0C2201 40770 CALIFORNIA OAKS RD (951) 677-3078 P/T 1 (TA, KO, SP)

ROBERT SILVOLA, DDS #273301 12810 HEACOCK ST STE B103 (951) 242-3441 F/T 1 (SP)

MURRIETA DNTL #003165 25395 MADISON AVE STE 103 (951) 696-5660 P/T 3 (JA, VI, SP)

SMILECARE-MORENO VLY #003105 12125 DAY ST BLDG 211 (951) 222-2000 F/T 1 P/T 16 (SP)

MURRIETA FAMILY DNTL #3C8601 40643 CALIFORNIA OAKS RD (951) 677-7779 P/T 2 (AR, SP)

ST PATRICK DNTL CLINIC #015837 24655 SUNNYMEAD BLVD (951) 242-6088 P/T 2 (TA) U

PLAZA DNTL #017779 40484 MUR HT SPGS RD SPC GS (951) 461-4306 P/T 1 (VI, SP) U

STONERIDGE DNTL #022469 27110 EUCALYPTUS AVE STE A (951) 616-1759 F/T 1 P/T 2 (TA, KO, SP) U

NATIONAL CITY CROWN DNTL 2405 HOOVER AVE (619) 474-6200 F/T 4 P/T 1 (SP, TA, PE)

CENTRAL DENTAL 2111 S ATLANTIC BLVD (323) 261-9999 P/T 1 (12, SP)

#003708

CLEAR CHOICE DENTAL 2312 S GARFIELD AVE (323) 722-1315 P/T 1 (12, CH, SP)

#039748

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GOLDEN DRAGON FAM DNT #026502 871 S ATLANTIC BLVD (626) 284-4200 F/T 2 (12, SP, CH) ISAAC CHEN, DDS #239601 2071 S ATLANTIC BLVD STE F G (323) 260-7878 F/T 1 P/T 1 (SP, KO, CH) U PACIFIC DNTL 2016 S ATLANTIC BLVD (323) 725-6797 P/T 1 (IT, SP, PE, AM)

#196401 U

MONTROSE ARMEN GASPARIAN #043484 2255 HONOLULU AVE # B (818) 249-9054 F/T 1 (AR, AM, SP, PE) MOORPARK MOORPARK DNTL #020308 718 W LOS ANGELES AVE # 3 (805) 529-1743 P/T 2 (SP) U MOORPARK SMILES DNTL #040163 144 W L.A. AVE STE 114 (805) 553-1980 F/T 1 (SP) U MORENO VALLEY BRIGHT NOW! DENTAL #010509 12420 DAY ST STE B4 (951) 656-6538 F/T 2 P/T 10 (CH, VI, SP, TA) U COMM DNTL OF DR CHI #003531 11875 PIGEON PASS RD STE B9 (951) 488-8688 P/T 1 (SP, CH) DR. PAREDES DNTL #035115 23318 OLIVE WD PLZ DR STE C (951) 242-5585 F/T 1 (SP) DTL ASSOC/MORENO VLY #396301 22500 TOWN CIR STE 2074 (951) 697-6800 F/T 1 (SP)

58

TOWNGATE FAM DNT #033127 12625 FREDERICK ST STE F4 (951) 697-7750 F/T 1 (SP, KO) U WESTERN DNTL SVS #044310 23185 HEMLOCK AVE STE #1 (951) 243-1000 F/T 4 P/T 24 (SP) U MURRIETA BRIGHT NOW! MURRIETA #040220 40790 CALIFORNIA OAKS RD # A (951) 704-7740 P/T 14 U

#034378

HAPPY SMILES DNTL INC #012165 1341 E 8TH ST STE D (619) 474-8441 F/T 1 (TA, SP) CERVANTES, DDS 2016 HIGHLAND AVE (619) 477-3770 F/T 1 (SP, TA)

#355101

SOUTH COAST DENTAL #035369 400 MILE OF CARS WAY STE A (619) 477-1970 F/T 1 (SP) U

CAL OAKS DNTL EXC #030895 40414 CALIF OAKS RD RD#A (951) 304-7472 P/T 1 (PE, SP) U

THOMAS TOMA, DMD #181201 3460 HIGHLAND AVE STE D (619) 420-1100 F/T 2 (TA, SP)

COPPER CANYON SMILES #037610 23771 WASHINGTON AVE # H102 (951) 691-5096 P/T 1 (SP, AR) U

TOWN & CNTY DEN #0C2301 1536 SWEETWATER RD STE E (619) 477-4945 P/T 1 (SP, GE, PE)

DATE DENTAL #040924 26636 MARGARITA RD STE 102 (951) 600-0858 P/T 1 U

WESTERN DNTL SVS #036282 1539 E PLAZA BLVD STE A (619) 474-7900 F/T 2 P/T 31 (SP)

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

NEWBURY PARK NGUYEN, DMD #015593 1000 NEWBURY RD STE 138 (805) 498-8856 P/T 1 (VI) U

NORCO ABSOLUTE DNTL PRAC 2641 HAMNER AVE (951) 739-7770 F/T 1 (SP)

STEVEN DESTLER, DDS #171201 587 N VENTU PARK RD STE C (805) 499-1253 F/T 1 P/T 1 (TA, SP) U

GENTLE DNTL NORCO #006984 1260 HAMNER AVE STE C D (951) 279-5200 F/T 1 P/T 3

NEWHALL CANYON COUNTRY DNTL #008605 26877 SIERRA HWY (661) 251-2002 F/T 1 (PE, SP, TA, VI) U

HAMNER DNTL #015152 140 HIDDEN VALLEY PKWY (951) 898-8673 P/T 2 (SP, HI) U

GABRIEL HENAO, DDS #031133 25044 PEACHLAND AVE STE 100 (661) 287-4352 F/T 1 (SP) U JERROLD SINGER, DDS 25061 PEACHLAND AVE (661) 255-7530 P/T 2 (SP, CH)

#032350

LYONS DNTL CARE 24036 LYONS AVE (661) 255-1015 P/T 2 (SP, AM, PE)

#008536

LYONS DNTL PLACE 23238 LYONS AVE (661) 259-0600 F/T 1 P/T 1 (TA)

#027580

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SIMANIAN, DDS INC #014829 23206 LYONS AVE STE 203 (661) 255-7338 P/T 1 (PE, AM, SP, RU) U VISTA VILLAGE DNTL #000215 24355 LYONS AVE STE 212 (661) 259-5001 P/T 1 (SP, PE) U NEWPORT BEACH AMIT SHAH, DDS #013066 355 PLACENTIA AVE STE 205 (949) 646-0818 F/T 1 (HI)

#036824

HIDDEN VLY DENT #026403 1161 HIDDEN VLY PKWY STE 106 (951) 582-0200 F/T 1 (PE) NORCO FAMILY DENTAL #142201 2031 RIVER RD (951) 372-9094 P/T 1 (SP, PE) U NORTH HILLS DNTL SOLUTIONS #007563 9146 SEPULVEDA BLVD STE A (818) 830-7000 P/T 1 (PE, AM, SP, TA) U W COAST DTL GRP #022123 15350 NORDHOFF ST STE A (818) 672-8228 P/T 1 (SP, PE, TA, JA) NORTH HOLLYWOOD ALLURE DENTAL #041338 6058 LANDERSHIM BLVD (818) 766-0056 F/T 1 P/T 1 (AM, RU, SP) U ASHOK GANDHI, DDS #013316 5942 LANKERSHIM BLVD (818) 985-7479 F/T 1 (TA, SP, HI) U BOUDAIE FAM DENT 10941 VICTORY BLVD (818) 509-1967 F/T 1 (SP, PE, AM, TA)

#002797 U

COASTAL IMAGE DENTAL #016544 3991 MACARTHUR BLVD STE 228 (949) 863-0988 F/T 3 (CH, SP) U

DNTL PLUS CA #019641 6512 LAUREL CANYON BLVD (818) 623-9000 P/T 2 (SP) U

NEWPORT BEACH DEN #125801 1501 SUPERIOR AVE STE 100 (949) 650-6772 F/T 2 U

EDWIN PAPAZIAN DDS 12820 VICTORY BLVD (818) 792-4500 P/T 1 (PE, RO, SP, AM)

NEWPORT DNTL CENTER #034631 2105 SAN JOAQUIN HILLS RD (949) 721-1730 P/T 1 (SP) U

FAMILY DENTISTRY #001667 6738 LANKERSHIM BLVD (818) 503-9697 F/T 1 P/T 1 (AM, RU, SP) U

NEWPORT SMILES DNTL #045295 3333 W COAST HWY STE 303 (949) 642-1033 F/T 1

HAMLIN DNTL #003546 12509 OXNARD ST STE 201 (818) 285-5757 P/T 2 (SP, AM)

#042970

JULIAN GERSHFELD, DDS #349801 5160 VINELAND AVE STE 105 (818) 761-8899 P/T 1 (RU, TA, SP) U MAGNOLIA FAM DENT #022063 11300 MAGNOLIA BLVD UNIT 5 (818) 980-7222 F/T 1 P/T 1 (SP, RU) U MEDIA DIST DENT 10732 RIVERSIDE DR (818) 760-9494 F/T 2 P/T 2 (SP, PE)

#018885

NOHO DNTL 11126 CHANDLER BLVD (818) 432-8300 P/T 2 (RU, SP, PE)

#032652

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N HOLLYWOOD DNTL #021129 12125 VANOWEN ST STE 2 (818) 764-4679 P/T 1 (PE, TR, AM, SP) PACIFIC DNTL #002840 6801 LANKERSHIM BLVD STE 101 (818) 764-0718 P/T 1 (SP, RU) U PREMIER DNTL CLINIC #019986 4648 LANKERSHIM BLVD (818) 505-0520 P/T 1 (SP, AM, PE) U SANTO TOMAS DNTL 12115 SATICOY ST (818) 759-1001 F/T 5 P/T 2 (SP, PE, TA)

#029560 U

SPECTRUM DNTL CARE #021768 13112 SHERMAN WAY (818) 982-6162 P/T 1 (SP, RU) U STAR SMILE DNTL GRP 11404 VICTORY BLVD (818) 508-7000 F/T 1 (SP, TA)

#023858

TOLUCA DNTL CARE 10668 RIVERSIDE DR (818) 760-9912 P/T 1 (HI, SP)

#037096

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UNIQUE SMILE DENTAL #026768 4789 VINELAND AVE STE 202 (818) 761-4545 F/T 1 (PE, AM) NORTHRIDGE AT EASE DENTISTRY 11155 TAMPA AVE (818) 363-3382 F/T 1 (RU, AM, SP)

#029567 U

BABAK KOHANOFF, DDS #378801 18250 ROSCOE BLVD STE 225 (818) 349-9151 F/T 1 (SP, PE) BHARATI DESAI, DDS #365901 8954 RESEDA BLVD STE 100 (818) 701-3010 F/T 1 (SP, HI)

OMID HARONIAN, DDS #029951 HERSEL HANASAB, DDS #015654 1901 WESTCLIFF DR STE 6 12926 SHERMAN WAY (949) 646-2481 (818) 765-4422 F/T 1 (SP, PE) F/T 1 P/T 1 (PE, SP) U U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

59

MAGPANTAY, DDS 10321 ZELZAH AVE (818) 366-4118 F/T 1 (SP, TA)

#027178 U

BUENAVENTURA INC #043897 18417 NORDHOFF ST STE A (818) 709-1504 P/T 1 (SP, TA) HAMLIN DNTL #176401 8540 RESEDA BLVD STE 101 (818) 701-6667 P/T 2 (RO, SP, PE, TA) SHAHRIARI DDS INC 8632 BALBOA BLVD (818) 894-6161 F/T 1 (HI, PE, SP)

#002753 U

LAWRANCE LEVINE, DDS #026401 8363 RESEDA BLVD STE 202 (818) 885-0536 F/T 1 U NORTHRIDGE DNTL 18519 DEVONSHIRE ST (818) 831-9990 F/T 2 P/T 2 (SP, AM)

#008246

ROTHSTEIN DDS CORP 9145 RESEDA BLVD (818) 886-9920 F/T 1 P/T 1 (KO, SP, CH)

#106101

NOURI DNTL CORP 9068 TAMPA AVE (818) 885-5200 F/T 1 (PE, SP)

#018017

NORWALK NEWPORT DENTAL 11481 ROSECRANS AVE (562) 863-3457 F/T 1 P/T 7 (SP, PE)

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OCEANSIDE JOHN DDS INC #040525 2123 S EL CAMINO REAL (760) 757-7720 F/T 1 (KO, SP) U

EUCLID DNTL CENTER #016585 2905 S EUCLID AVE STE D (909) 391-4300 F/T 1 (SP)

BRIGHT NOW! DENTAL #033583 4170 OCEANSIDE BLVD STE 183 (760) 936-0000 F/T 1 P/T 10 (SP, PE) U COLLEGE DNTL #007275 467 COLLEGE BLVD STE 2 (760) 631-3060 F/T 4 P/T 2 (TA, SP) DENTISTRY 2000 #002321 3529 CANNON RD STE 2G (760) 945-7000 F/T 1 (PE, SP) EMERALD DENTAL 4645 FRAZEE RD STE A (760) 722-0137 P/T 1 (PE, SP, HI)

#029510 U

OCEANSIDE DNTL CR CNTR #042373 3753 MISSION AVE STE 116 (760) 721-8888 P/T 1 (SP, PE) U QUARRY CREEK DNTL #011144 3430 MARRON RD STE 300 (760) 730-1303 P/T 2 (VI, SP) U

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NORWALK DENTAL! #015591 12052 IMPERIAL HWY STE 101 (562) 863-4775 P/T 6 (SP, RU, AR, TA)

SOUTH OCEANSIDE DNTL #011153 2484 VISTA WAY STE B (760) 439-0334 F/T 1 P/T 2 (SP, PE, GE) U

#003204 U

NORWALK FAM DNTRY #002720 15617 STUDEBAKER RD STE 5 (562) 484-3936 F/T 1 (TA, SP) U PADDISON DNTL 12501 NORWALK BLVD (562) 929-0880 P/T 3 (SP, PE)

#121901

PIONEER DNTL INC 14034 PIONEER BLVD (562) 863-8779 P/T 1 (PE, SP)

#012590

ROBERT LEE FAM DTL #364001 11780 FIRESTONE BLVD (562) 868-9897 F/T 1 (SP, TA, CH, 12, CA) U

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EMEEL GHOBRIAL DTAL #000194 628 W HOLT BLVD STE C (909) 986-6424 F/T 1 (SP, AR) U

SEGOVIA, DDS INC #016472 2123 S EL CAMINO REAL (760) 966-7490 F/T 1 (FR)

NORWALK FAM DNTL 12319 IMPERIAL HWY (562) 868-7955 F/T 1 (HI, SP)

#013140

ROSE DNTL IMPLANT CTR #029294 13041 ROSECRANS AVE STE 207 (562) 404-1614 P/T 1 (KO, SP) U

WESTERN DNTL SVS 3125 VISTA WAY # 101 (760) 439-1000 F/T 2 P/T 50 (SP)

#036283

ONTARIO ARCHIBALD DNTL PRAC #040400 2598 S ARCHIBALD AVE STE C (909) 947-0670 F/T 1 (SP) BRIGHT DNTL CARE 2543 S EUCLID AVE (909) 933-5266 F/T 1 (SP, AR)

#003969 U

DEL SOL DNTL #042792 2448 S VINEYARD AVE UNIT 107 (909) 930-2500 F/T 1 P/T 1 (SP) U

ARCHIBALD RANCH DTL #008852 3065 S ARCHIBALD AVE STE B (909) 923-3640 P/T 1 (SP) U IRENE JUSTIN, DDS 2413 S GROVE AVE (909) 947-9700 P/T 1 (AR, HI, SP)

#026571

JASWANT SUTHAR, DDS #367201 2242 S MOUNTAIN AVE (909) 391-1549 F/T 1 (SP) U KYUNG CHUNG, DDS #357001 941 W MISSION BLVD STE H (909) 984-7883 F/T 1 (KO, SP) ONTARIO FAM DENT 528 N FERN AVE (909) 460-9552 F/T 2 (SP, 12)

#022868 U

MILLS DNTL&BRACES #037060 961 N MILLIKEN AVE STE 103 (909) 581-7700 P/T 3 (SP) U ONTARIO SMILES 4190 E 4TH ST STE C (909) 532-8518 F/T 1 (SP)

#024466

ONTARIO VILLAGE DNTL #019519 533 W HOLT BLVD STE B (909) 988-1992 P/T 1 (SP) PRIME DNTL STUDIO #040994 1049 W PHILADELPHIA ST (909) 391-2324 P/T 3 (SP) U RIVER ARCH DNTL #014616 2920 S ARCHIBALD AVE STE C (909) 923-2273 P/T 1 (SP, VI) U WILLIAM STANLEY, DDS #001601 211 N EUCLID AVE (909) 983-9639 F/T 2 P/T 1 (SP) ORANGE ACE DENTAL 2291 N TUSTIN ST (714) 282-2525 F/T 1 (SP, VI) BRIGHT DNTL CARE 765 N TUSTIN ST (714) 771-7474 F/T 1 (HI)

#013767 U #025940

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

CA DNTL OF ORANGE 1502 E COLLINS AVE (714) 288-8464 (SP, VI)

#008670 U

CECILE N LICAUCO, DDS #034282 8418 E CHAPMAN AVE (714) 984-2050 P/T 1 (TA, SP) COMFORT SMILE #1C5301 1920 E KATELLA AVE STE J (714) 997-4133 F/T 1 (SP, CH) GENTLE DNTL ORANGE 424 S MAIN ST STE H (714) 639-1922 F/T 1 P/T 4

#002804

J KWON DMD INC 245 N GLASSELL ST # A (714) 532-5600 P/T 1 (KO, SP)

#040781

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NEWPORT DENTAL #004715 1632 E KATELLA AVE STE B (714) 538-2311 F/T 3 P/T 15 (SP, KO, VI) U ORANGE DNTL 235 S TUSTIN ST (714) 744-0044 P/T 1 (SP)

#033008

ORANGE HILL DENTAL 3138 E CHAPMAN AVE (714) 639-2703 F/T 1 (SP, PE)

#282401

PEARL DENTAL 1714 N TUSTIN ST (714) 998-5502 F/T 1 (SP)

#035443

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PREFERRED DNTL CARE #004393 2022 W CHAPMAN AVE (714) 978-3333 F/T 1 P/T 2 (SP, CH, VI) U PRIME DNTL CARE #013980 805 W LA VETA AVE STE 210 (714) 639-6666 P/T 1 (SP, AR, FR) U SHINY DNTL PRACTICE 1916 N TUSTIN ST (714) 282-9966 F/T 1 (SP, PE)

#011738 U

ST CATHERINE DNTL CNTR #001875 235 E KATELLA AVE (714) 633-3336 P/T 2 (VI, SP) U TWN & CNTY DENT #367801 1111 W TWN AND CNTRY RD # 33 (714) 285-0505 F/T 3 (CH, SP) U TUSTIN PLAZA DENTAL 1872 N TUSTIN ST (714) 637-8662 F/T 1 P/T 1 (JA, SP, VI)

#280401

WEST COAST DENTAL 179 N TUSTIN ST (714) 288-1035 P/T 2 (HI, TA, SP)

#006975 U

OXNARD BEACH CITIES DNTL #030676 1801 SOLAR DR STE 290 (805) 278-8887 F/T 1 U BRIGHT NOW DENTAL 355 W ESPLANADE DR (805) 288-3080 P/T 4

#043210

DNTL CARE OF OXNARD #1C3601 1350 W GONZALES RD FL 2 (805) 988-5888 P/T 1 (SP) U

PARADISE DNTL #031494 10059 LRL CYN BLVD STE A (818) 896-0043 P/T 1 (SP) U RAMTIN & KHOSROVANI DDS #035028 13564 VAN NUYS BLVD (818) 897-5771 F/T 1 P/T 1 (SP, PE) U URIZAR DNTL CLINIC INC #043147 13215 VAN NUYS BLVD (818) 890-6442 P/T 1 (SP) WAEL H OBEID DDS INC #040985 13711 VAN NUYS BLVD STE 3 (818) 890-2600 F/T 1 (SP, AR)

ESTHETIC SMILES #395501 1901 SOLAR DR STE 135 (805) 988-2250 F/T 1 (SP, AR, FR) U

PALM DESERT A SAEED DDS INC #042330 72695 HIGHWAY 111 STE A8 (760) 340-2160 F/T 1 (SP) U

FREMONT SQ FAM DENT #002749 712 N VENTURA RD (805) 988-4540 F/T 1 (SP) U

DESERT CROSSING DNTL #2C3701 72333 HIGHWAY 111 STE B (760) 674-9666 F/T 2 P/T 1 (SP) U

ISLAND PLAZA DNTL 2500 SAVIERS RD (805) 486-4896 P/T 2 (SP)

#002823

DESERT GATEWAY DNTL #022888 34460 MONTEREY AVE STE 100 (760) 321-1259 F/T 1 P/T 1 (SP, TA, AR) U

BRAZA, DDS 1050 N VENTURA RD (805) 981-8880 F/T 1 (SP, TA)

#012348

PALM DESERT DNTL CNTR #024590 73-585 RED WARING DR #101 (760) 773-0052 P/T 1 (PE, SP) U

LUZ CUBILLOS, DDS #004719 451 W GONZALES RD STE 160 (805) 988-3303 F/T 1 (SP, FR) U

PARC CENTER DENTAL #026260 77564 COUNTRY CLUB DR # 350 (760) 772-7082 F/T 1 P/T 1 (SP, TA)

OXNARD DNTL 2379 N OXFORD BLVD (805) 278-9499 P/T 1

#016505

SUNLIFE DNTL #031853 73211 FRED WARING DR STE 201 (760) 568-3368 F/T 1 (PE, SP, IT) U

PACIFIC DNTL 2150 N ROSE AVE (805) 604-0449 P/T 1 (SP)

#002325

PALM SPRINGS MAHMOUDI DDS #043816 1921 E TAHQUITZ CANYON WAY (760) 325-6480 F/T 1 (AM, PE, SP) U

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ROSE DNTL #018175 2731 S ROSE AVE STE 101 (805) 483-3658 F/T 1 P/T 2 (SP) U PACOIMA EASY CARE DENTAL 13003 VAN NUYS BLVD (818) 834-0011 F/T 1 KISHORE SHAH, DDS 13279 VAN NUYS BLVD (818) 899-2505 F/T 1 P/T 1 (SP, TA)

#037094 U #148401

PACOIMA FMLY DNTL CNTR #018258 9722 LAUREL CANYON BLVD (818) 897-1234 F/T 1 (PE, SP)

GNTL DNTL DESERT DEN #199801 1111 TAHQUITZ CYN WAY 210 (760) 327-1125 F/T 1 P/T 2 (SP) WESTERN DNTL SVIS #036702 555 S SUNRISE WAY STE 400 (760) 322-6061 F/T 2 P/T 26 (SP) PALMDALE ANDRE KANARKI, DDS #000997 1543 E PALMDALE BLVD STE B (661) 274-1866 F/T 1 (TA, FR, SP, AM)

BRIGHT NOW DENTAL #020968 39345 10TH ST W STE B (661) 274-8065 F/T 2 P/T 8 (SP) U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

61

#026732

KOO DDS INC #013059 8215 VAN NUYS BLVD STE 220 (818) 782-8261 P/T 2 (KO, SP, CH)

GENTLE CARE HEALTH SPA #022435 247 N LAKE AVE (626) 405-2922 P/T 1 (SP, AM, TA, 12, KO, AR) U

HI-DESERT DNTL CENTER #001732 2205 E PALMDALE BLVD (661) 273-1333 F/T 1 P/T 1 (SP, RU, PE) U

LATIN DNTL #030954 8111 VAN NUYS BLVD STE 107 (818) 994-6080 F/T 1 (SP) U

GREEN STREET DENTAL #359301 1175 E GREEN ST (626) 270-0100 F/T 1 U

OASIS DNTL CARE #025870 40008 10TH ST W STE F (661) 947-2727 F/T 1 (PE, SP)

SHIMON RABBANI, DMD #012350 14554 NORDHOFF ST (818) 891-2345 F/T 1 (RO, SP)

HASTINGS RANCH DNTL #017210 255 N ROSEMEAD BLVD (626) 351-0195 F/T 1 P/T 2 (SP) U

PREMIER DNTL CARE #1C0801 3005 E PALMDALE BLVD STE 22 (661) 273-5221 P/T 1 (AR, AM, SP) U

VAN NUYS PAN DNTL 8227 VAN NUYS BLVD (818) 989-3074 F/T 1 (SP, AR)

#002803

IBRAHIM RABADI, DDS #021778 2281 E WASHINGTON BLVD (626) 794-2606 F/T 1 (TR, RU, AR, AM)

SIERRA COM DNTL GRP #017650 755 W RANCHO VISTA BLVD (661) 265-7800 P/T 2 (SP) U

PARAMOUNT DR CHEBBI DNTL OFFICE #018649 16260 PARAMOUNT BLVD STE G (562) 633-5070 F/T 1 (AR, SP, FR)

GATEWAY DNTL 28209 47TH STREET E (661) 236-0046 F/T 2 P/T 1

SMILECARE-PALMDALE #001507 38745 TIERRA SUB AVE STE 150 (661) 272-9091 F/T 3 P/T 8 (SP, PE) U THELMA BUADO, DDS #021026 3025 E AVENUE S STE A14 (661) 265-7694 F/T 1 (SP, TA) U WESTERN DNTL SVIS #039637 510 W AVE P (661) 273-0226 F/T 3 P/T 9 (AM, SP, TA, AR, PE, GE, RU) PALOS VERDES PENINSULA PENINSULA DNTL ARTS #3C3801 550 DEEP VALLEY DR STE 347 (310) 377-9575 P/T 2 (SP, PE, VI) PANORAMA CITY ROSEN/SR NOURIAN DDS #341801 8424 VAN NUYS BLVD (818) 893-4222 P/T 2 (SP, PE, HE) U

PARAMOUNT DNTL CARE #036209 8524 1/2 ROSECRANS AVE (562) 633-3082 F/T 1 (SP, TA, PE) U PARA FAM DNTL CTR #370701 8131 ROSECRANS AVE STE 101 (562) 634-2984 F/T 1 (SP, CH, HI) U WEST COAST DENTAL #355901 14525 LAKEWOOD BLVD STE A (562) 272-0000 P/T 2 (KO, 12, CH, SP) PASADENA ALEN BAKTAMIAN, DMD #3C2601 301 S FAIR OAKS AVE STE 206 (626) 431-2654 P/T 1 (PE, SP, AM) U ARAKELYAN DENTAL 720 N LAKE AVE STE 7 (626) 808-9797 P/T 1 (RU, SP, AM)

#001746 U

DNTL PLUS CALIFORNIA #013445 14415 CHASE ST (818) 830-9050 P/T 2 (PE, SP) U

CARING DENTAL #035515 777 S ARROYO PKWY STE 104 (626) 795-1985 F/T 1 (GE, AM, PE, SP) U

DNTL WONDERLAND #016869 8761 VAN NUYS BLVD (818) 891-1600 F/T 1 P/T 2 (AM, SP, FR, AR) U

WYNDHAMSMITH, DDS #316601 1092 E GREEN ST (626) 795-9328 P/T 2 (SP, KO) U

DENTALVILLE #021919 7864 VAN NUYS BLVD (818) 989-2400 F/T 2 P/T 1 (SP, TA, RU, AM) U

DNTL PLUS DNTL #041172 310 S LAKE AVE (626) 795-6855 P/T 4 (HU, HI, SP, PE, FR, RU, AR, AM) U

GARY KARSH, DDS #357201 8628 VAN NUYS BLVD STE 200 (818) 895-1321 P/T 1 (RU, SP) U

DR. LENA FAM DENT #037129 65 N MADISON AVE STE 701 (626) 795-2900 F/T 1 (AM, AR, SP)

#3C4801

FAIR OAKS FAM DENT #028398 929 N ORANGE GROVE BLVD (626) 449-3700 F/T 3 P/T 2 (SP, PE)

GENTLE DNTL CENTER 14526 ROSCOE BLVD (818) 893-7858 P/T 1 (SP, RU)

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LAKEVIEW DENTAL #019231 709 N LAKE AVE (626) 797-8900 F/T 1 P/T 1 (FR, SP, GE, AR) U NEWPORT DNTL #012908 81 N LAKE AVE (626) 440-0240 F/T 2 P/T 11 (TA, VI, SP, AM, 12, PE) U PASADENA DNTL ASSO #272401 1302 N ALTADENA DR (626) 797-6778 F/T 2 (SP, CA, AM) PASADENA DNTL CNTR #004502 766 N LAKE AVE (626) 808-1717 P/T 1 (SP) PASADENA FAM COS & IMP #040863 800 FAIRMOUNT AVE STE 100 (626) 304-3004 F/T 1 (RU, SP, PE, AM) U GHOTANIAN, DDS 212 S EL MOLINO AVE (626) 792-7900 P/T 2 (AM, SP)

#016419

ROSE CITY DNTL ARTS #018882 1855 E COLORADO BLVD (626) 440-0801 P/T 1 U SHAUN MALEK, DDS 465 N LAKE AVE (626) 405-1445 F/T 1 (SP, PE)

#148701

SINAI DNTL PRACTICE 668 N LOS ROBLES AVE (626) 405-9090 F/T 1

#031178

SOUTH LAKE DENTAL 600 S.LAKE AVENUE (626) 844-6674 P/T 1 (RU, AM, SP)

#034369

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SUPERB DNTL CARE #031651 109 W CALIFORNIA BLVD (626) 844-7778 P/T 1 (TA, SP) U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

WASHINGTON DNTL #1C8201 2554 E WASHINGTON BLVD (626) 296-0056 F/T 1 P/T 1 (PE, SP) U

WONG DDS 415 W CHAPMAN AVE (714) 223-2021 P/T 2 (CH, SP)

PERRIS CROSSING DNTL 3150 CASE RD BLDG C (951) 345-4386 P/T 2 (SP)

PLACENTIA FAM DENT #016013 1525 N PLACENTIA AVE STE H (714) 528-0089 F/T 1 (CH, VI, SP)

SAUCEDO DNTL CORP #037041 180 E MISSION BLVD # A (909) 623-5278 P/T 1 (SP)

ROSE LINDA DENTAL #001674 1203 E YORBA LINDA BLVD (714) 528-2833 F/T 1 (GE, PE, SP) U

POWAY A POWAY DNTL #001867 13422 POMERADO RD STE 202 (858) 679-4949 P/T 1 U

#022885 U

GENTLE DNTL PERRIS #032981 2560 N PERRIS BLVD STE F1 (951) 657-6466 P/T 3 (SP) PERRIS FAM DNTL CRE 330 E 4TH ST (951) 443-3045 P/T 1 (SP) PICO RIVERA MEHTA, DDS 9514 WHITTIER BLVD (562) 942-2345 P/T 1 (VI, FR, SP)

#013535

#004485 U

PLAYA DEL REY DEL DNTL #012941 8035 W MANCHESTER AVE STE B (310) 822-8118 P/T 1 (PE, SP) U

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POMONA ANGELIC DENTISTRY 847 PHILADELPHIA ST (909) 627-4177 F/T 1 (SP)

BRIGHT NOW DENTAL #039985 8963 WASHINGTON BLVD (562) 566-1004 P/T 5 U

MANCHANDIA, DDS 551 E HOLT AVE (909) 622-8600 F/T 1 (SP, HI)

BRIGHT SMILE DENTAL #025067 8819 WHITTIER BLVD STE 102 (562) 699-1000 F/T 1 (SP, KO)

DONALD HODSON, DDS #348001 1956 INDIAN HILL BLVD (909) 621-5848 F/T 1 (SP, PE)

#320601

CORD FAM DNTL CARE 8716 CORD AVE (562) 949-2526 F/T 2 (PE, SP)

#021700

MUDITAJAYA, DDS 9123 SLAUSON AVE (562) 949-0177 F/T 4 (SP, TA)

#367501

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FAMILY DNTL CLINIC 2280 S GAREY AVE (909) 364-0633 F/T 2 P/T 1 (SP)

#034442

#001718

#005493

SAHARA DENTAL 2005 W HOLT AVE (909) 623-9590 F/T 1 P/T 2 (SP, AR)

#002509 U

HEALTHY HABIT DENT #024230 12620 MONTE VISTA RD STE D (858) 485-8800 F/T 1 (SP) U PACIFIC DNTL CARE #036647 12307 POWAY RD STE B (858) 668-3390 F/T 1 (SP, VI) U POMERADO FAM DNTL #009629 15706 POMERADO RD STE 201 (858) 674-5252 F/T 1 (SP, HI) POWAY FAMILY DNTL #007273 13616 POWAY RD STE 100 (858) 391-9300 P/T 4 (SP) U WESTERN DNTL SVS 12649 POWAY RD (858) 486-6100 P/T 24 (SP, VI, TA)

#039641 U

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GENTLE DNTL POMONA #198201 175 W LA VERNE AVE STE A (909) 593-5515 F/T 1 P/T 3 (SP) U

RANCHO CUCAMONGA KAVORINOS, DDS #053101 10630 TOWN CENTER DR STE 131 (909) 987-6643 F/T 1 P/T 1 U

DNTL MASTERS #012745 8982 WASHINGTON BLVD (562) 222-1551 F/T 1 P/T 1 (SP) U

GROVE FAMILY DENTAL #017476 3167 N GAREY AVE (909) 596-7700 P/T 3 (PE, SP, HI)

BRIGHT NOW! DENTAL #014841 11561 FOOTHILL BLVD STE 104 (909) 483-7811 F/T 3 P/T 14 (SP) U

FAMILY DENTISTRY #000013 4400 ROSEMEAD BLVD STE 2 (562) 695-5251 F/T 1 (SP, HI) U

KENT HUNG, DMD #011786 520 E FOOTHILL BLVD STE B (909) 624-1781 P/T 1 (SP, 12, CH)

DR HATTAR DENTAL #026243 9950 FOOTHILL BLVD STE T (909) 980-4816 P/T 1 (SP, AR)

PICO RIVERA FAM DENT #029281 9401 SLAUSON AVE (562) 949-9500 P/T 1 (SP)

GUSHANSKY, DDS 887 E 2ND ST STE D (909) 865-8595 F/T 1 (CH, RU, SP)

#017478

D’VINE DENTAL #039472 8906 SAN BERNARDINO RD # 130 (909) 758-9200 F/T 1 (SP, AR) U

PRIME CARE DENTAL #041170 8803 WHITTIER BLVD STE 200 (562) 463-6163 P/T 1 (KO, SP)

ZAHEDI DDS INC 722 E ARROW HWY (909) 621-9177 P/T 1

#045309

GHAZAL DNTL CORP 10797 FOOTHILL BLVD (909) 581-0888 P/T 2

W CST DTL GRP 9050 WHITTIER BLVD (562) 456-1111 P/T 1 (SP)

#045040 U

PEARL DNTL CARE #011143 2407 VALLEY BLVD STE C1 (909) 839-1004 P/T 1 (SP, HI) U

#3C7001

GINA BARRAMEDA, DMD #018520 8351 ROCHESTER AVE STE 109 (909) 466-5352 P/T 2 (SP, TA) U

PLACENTIA POMONA DNTL #357101 HORIZONS DENTISTRY #033793 COASTAL DNTL CARE #007879 850 INDIAN HILL BLVD 9353 FAIRWAY VIEW PL# 200 1858 N PLACENTIA AVE (909) 626-3541 (909) 987-9933 (714) 577-9070 F/T 1 (SP, KO) F/T 1 P/T 1 (SP, AR) U P/T 2 (VI, SP) U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

63

#359101

SANTA MARGARITA DTL GRP #015307 22195 EL PASEO STE 260 (949) 459-9300 P/T 2 (SP, PE, TA) U

BEACH CITY DNTL #041128 1509 HAWTHORNE BLVD STE 102 (310) 376-5252 F/T 1 P/T 1 (SP) U

MONET DNTL #022886 12455 VICTORIA GDNS LN # 190 (909) 646-3057 F/T 1 P/T 2 (SP, TA, 12) U

SO CA SMILES DENT #013832 22195 EL PASEO STE 220 (949) 766-0006 P/T 1 (AR, RU, VI, TA, SP) U

GALLERIA DNTL CARE #126601 2772 ARTESIA BLVD STE 103 (310) 370-1586 F/T 2 (PE, IT, SP, FR) U

PERFORMA DENTAL #041921 9635 MILLIKEN AVE STE 103 (909) 481-8990 P/T 1 (KO, SP)

REDLANDS BEAU SMILE DNTL CNTR #030580 1895 ORANGE TREE LN STE 103 (909) 307-6453 F/T 1 (SP) U

REDONDO BCH DNTL #005772 2731 MANHATTAN BEACH BLVD (310) 643-0880 F/T 1 P/T 1 (PE, SP)

JEFFREY LLOYD, DDS 9310 BASELINE RD (909) 989-1868 F/T 2 (SP, JA)

RAN CUCAMONGA DNTL #390301 10470 FOOTHILL BLVD STE 126 (909) 989-7888 F/T 1 (SP) U RANIA REFAAT, DDS #1C7401 7388 CARNELIAN ST STE C (909) 989-1758 F/T 1 (AR, SP) U RENAISSANCE DNTL CARE #026932 9080 MILLIKEN AVE STE 100 (909) 987-0040 P/T 1 U SMILECARE-RANCHO CUCAMONGA #003966 9349 FOOTHILL BLVD STE B (909) 980-6363 F/T 2 P/T 20 (SP)

BROOKSIDE DNTL ASSOC #035379 720 BROOKSIDE AVE STE 100 (909) 798-7111 F/T 2 P/T 1 (SP) U

BRIGHT NOW! DNTL #043476 19361 SATICOY ST STE A (818) 739-1028 P/T 7 U

DRS LOW & LI 229 CAJON ST (909) 792-9217 F/T 2 (SP, CA)

#301601

CANBY DENTAL 18440 SHERMAN WAY (818) 343-4024 P/T 1 (SP, PE)

#001668 U

ELITE DNTL ASSOC #028395 245 TERRACINA BLVD STE 207A (909) 798-4111 F/T 1

CITI DENTAL #019259 6900 RESEDA BLVD STE C (818) 705-0200 F/T 1 (SP, PE)

#114501

STAR DNTL #117701 12729 FOOTHILL BLVD STE A (909) 899-8757 F/T 3 (PE, SP)

ORANGE PL DENT 470 ORANGE ST (909) 793-4585 F/T 1 (TA, SP)

U

CITY DNTL #038024 18511 SHERMAN WAY # A (818) 345-9800 P/T 1 (HE, SP) U

UPLAND DNTL & ORTHO #012935 11328 KENYON WAY (909) 945-5800 P/T 2 (CH, VI, SP) U

REDLANDS DNTL ASSO #012341 860 W REDLANDS BLVD (909) 793-5270 P/T 1 (RU, SP) U

ESTHITIC SMILE #042340 19231 VICTORY BLVD STE 216 (818) 344-4929 F/T 1

WINERY ESTATE DNTL #014115 7369 DAY CREEK BLVD # F-103 (909) 646-7902 F/T 1 P/T 3 (12, SP, CH) U

REDLANDS DNTL 422 ORANGE ST (909) 792-7500 F/T 2 P/T 1 (KO, SP)

#005437 U

HARVEY DLUGATCH, DDS #092901 18909 SHERMAN WAY FRNT (818) 345-1343 F/T 1 (SP)

RANCHO MIRAGE RANCHO MIRAGE DNTL #022862 72-027 HIGHWAY 111 #C (760) 340-5155 P/T 3 (SP) U

SMILE BRIGHT DENTAL #040992 414 TENNESSEE ST STE K1 (909) 798-4000 P/T 3 (SP) U

HENIDE ARIAS, DDS #027180 19231 VICTORY BLVD STE 252 (818) 881-8940 P/T 1 (SP)

#018236

JOHN FOROUTAN, DDS #002754 18308 SHERMAN WAY STE 1 (818) 881-0404 F/T 1 (SP, PE) U

WESTERN DNTL SVS, INC #044332 1715 W REDLANDS BLVD STE B (909) 801-8140 P/T 35 (SP) U

MONICA HERDOIZA, DDS #042499 6915 RESEDA BLVD UNIT 3 (818) 881-6844 F/T 1 (SP)

REDONDO BEACH BARRY KASHFIAN DNTL #270001 1917 S CATALINA AVE # B (310) 375-0787 P/T 1 (CH, PE, SP)

RESEDA DNTL #040015 18437 SATICOY ST STE 1 (818) 344-8338 F/T 1 P/T 1 (AM, TA, PE, SP)

RANCHO SANTA MARGARITA APPEALING DENTISTRY #008406 29839 SNTA MRGRITA PKWY 100 (949) 766-7687 P/T 1 (RU, SP, HE, AR) U ELITE DENTISTRY #014570 22391 ANTONIO PKWY STE J200 (949) 888-8989 F/T 1 (SP, VI, CH) U RANCHO DNTL #3C6501 30592 SANTA MARGARITA PKWY (949) 766-5740 F/T 1 P/T 1 (SP)

64

BRIGHT NOW DENTAL #016012 1285 ALABAMA ST STE D (909) 793-5777 F/T 1 P/T 13 (PE, SP) U

RESEDA ADULT AND KIDS DENTAL #029954 6915 RESEDA BLVD UNIT 6 (818) 881-6761 F/T 1 (SP, RU, TR, AM)

UNITED DNTL 434 CAJON ST STE 101 (909) 793-8793 F/T 2 P/T 6 (SP)

BAYSIDE DNTL CARE #021437 1884 1/2 S PACIFIC COAST HWY (310) 792-4627 F/T 1 P/T 1 (SP, HI)

RESEDA DNTL OFFICE 18554 SHERMAN WAY (818) 708-9919 F/T 1 (SP, AM, RU)

#024591

ROBERT MURRAY, DDS #026083 22032 EL PASEO STE 230 (949) 713-1606 P/T 1 (TA, SP, AR, PE, KO) U U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

RESEDA VILLAGE DNTL #029118 18700 SHERMAN WAY STE 116 (818) 757-7070 F/T 1 (SP, VI) U

TRI STAR FAM DNTL #000011 106 N EUCALYPTUS AVE (909) 875-1299 F/T 1 (VI, SP)

NGUYEN, DDS INC #010632 7120 INDIANA AVE STE B (951) 276-2877 P/T 1 (SP, VI)

RUBTSOV DDS INC #043062 19301 SATICOY ST STE D (818) 772-4222 P/T 1 (RU, SP) U

RIVERSIDE ACE DENTAL #038138 11840 MAGNOLIA AVE#A (951) 351-8881 F/T 1 (SP)

FUNDEANU, DDS INC #010631 6860 BROCKTON AVE STE 12 (951) 684-9917 F/T 1 (SP, GE, RO)

SAN FERNA VLY DTL #019258 19231 VICTORY BLVD STE 458 (818) 345-6477 P/T 1 (PE, TA) SMILE MSTR DNTL 17703 VANOWEN ST (818) 609-0009 F/T 1 (HI, VI, SP, PE) RIALTO AHUJO DNTL OFFICE 224 E BASE LINE RD (909) 874-4699 P/T 1 (HI, SP)

#004480 U #015811 U

ARLANZA FAM HEALTH #042936 8856 ARLINGTON AVE (951) 710-3970 F/T 1 (SP) ARLINGTON DENTAL #2C0201 3297 ARLINGTON AVE STE 101 (951) 683-6055 F/T 1 P/T 3 (SP) CA DNTL GRP 3845 PIERCE ST STE A (951) 359-1900 F/T 1 P/T 1 (SP)

#028158

CARE FAMILY DENTAL #012976 2836 W RIALTO AVE STE A (909) 820-9454 F/T 1 (SP, KO)

CANYON SPRINGS DTL #015584 2878 CAMPUS PKWY STE C-1 (951) 571-0011 F/T 1 P/T 1 (SP) U

DNTL CARE RIALTO INC #166001 1817 N RIVERSIDE AVE (909) 879-1024 F/T 3 (SP, HI, CH)

COMM DNTL OF DR CHI #003520 4595 LA SIERRA AVE (951) 688-6000 P/T 1 (SP, CH, KO)

DESIGNER DENT RIALTO #022802 1786 N RIVERSIDE AVE STE 5 (909) 874-0323 F/T 1 P/T 2 (SP)

DNTL ASSOC RIVERSIDE #267501 3487 CENTRAL AVE (951) 369-1001 P/T 2 (SP)

DR AHUJAS DNTL 1130 N RIVERSIDE AVE (909) 873-0277 P/T 1 (SP, HI)

#000131

DNTL HLTH RIVERSIDE 6339 BROCKTON AVE (951) 369-3597 F/T 2

#027125

FAMILY DENTISTRY 511 S RIVERSIDE AVE (909) 820-2274 F/T 1 P/T 1 (SP)

#117501

EASTSIDE HEALTH CTR 1970 UNIVERSITY AVE (951) 213-3450 P/T 2

#043002

FAMILY DENTISTRY #022887 1734 N RIVERSIDE AVE STE 3 (909) 875-1279 F/T 1 (CH, SP, IN)

FAMILY DENTISTRY 4710 LA SIERRA AVE (951) 324-8180 F/T 1 (SP)

#012951

PAULETTE NEWMAN, DDS #011308 1733 N RIVERSIDE AVE (909) 875-2548 F/T 1 U

GATEWAY DNTL 10286 INDIANA AVE (951) 359-5200 F/T 2 P/T 4 (TA, SP, VI)

#014338

RIALTO DNTL CENTER #045279 1374 W. FOOTHILL BLVD STE 2E (909) 874-7444 P/T 1

GENTLE DEN RIVERSIDE #006983 10168 INDIANA AVE (951) 352-9747 F/T 2 P/T 5 U

RIALTO DNTL 1629 S RIVERSIDE AVE (909) 421-2225 P/T 3 (SP)

#004514

GENTLE DENT RIVERSIDE #006976 3630 CENTRAL AVE STE 6 (951) 682-1720 F/T 1 P/T 4 (AR, SP) U

SAMIR SHAH, DDS 469 W BASE LINE RD (909) 746-0444 F/T 1 (SP, HI)

#022890

U

U

GROVE DNTL 8735 TRAUTWEIN RD (951) 776-1330 P/T 1

U

U

#014141

LA SIERRA FAM DENT #152301 3410 LA SIERRA AVE STE D (951) 354-9550 F/T 1 (SP, JA, GE) U LOW FAM DENT 6862 PALM AVE (951) 683-5490 F/T 1 (SP)

#080601

M J SAVANI, DDS 4080 TYLER ST STE D (951) 359-0149 F/T 1 (HI, SP)

#207301

NEWPORT DENTAL #000767 3724 LA SIERRA AVE STE F1 (951) 688-2400 F/T 1 P/T 9 (SP, VI) NEWPORT DENTAL 3560 ARLINGTON AVE (951) 680-1200 F/T 1 P/T 13 (SP, IN)

#005465

ORANGECREST FAM DTL #024651 19348 VAN BUREN BLVD STE 117 (951) 789-9905 F/T 1 (PE, SP) U PARISSA DJAFARI, DDS #012718 6900 BROCKTON AVE STE 2 (951) 682-2245 F/T 1 (PE, FR, SP) PARKVIEW DENTAL #034681 8990 GARFIELD ST STE 4 (951) 687-6453 F/T 1 (PE, SP) U PAYDAR STAR DNTL INC #000161 6071 MAGNOLIA AVE (951) 680-1777 F/T 2 (SP, PE) RAINCROSS DENTAL #037609 7028 INDIANA AVE STE 101 (951) 367-1345 P/T 2 (SP) U REGAL DENTISTRY 3950 PIERCE ST STE L (951) 688-0082 F/T 1 (SP)

#025621

REZA RAJABI, DMD 7776 LIMONITE AVE (951) 360-0696 F/T 1 P/T 1 (SP, TA, PE)

#014243

RIVERSIDE DNTL OFFICE #026612 1485 UNIVERSITY AVE (951) 784-4441 F/T 1 (SP)

U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

65

RIVERSIDE DENTISTRY 1857 UNIVERSITY AVE (951) 781-3021 F/T 1 P/T 1 (FR, VI, SP)

#121101

RIVERWALK DNTL SPA #007769 11695 SLATE AVE STE 200 (951) 353-0050 P/T 1 (SP) U SMILE BUILDER #021534 473 E ALESSANDRO BLVD # A (951) 789-6886 P/T 1 (SP, CH) U SMILECARE-RIVERSIDE 10001 INDIANA AVE (951) 689-0701 F/T 3 P/T 17 (SP)

#004221

UNIVERSAL CARE DENTAL #1C0701 4024 12TH ST (951) 784-0636 F/T 7 P/T 6 (SP, TA, VI) VIVIAN KWON, DDS #172501 2955 VAN BUREN BLVD STE H4 (951) 689-8544 F/T 1 (KO, SP) WEI MIN TU, DDS #038240 3975 JACKSON ST# 306 (951) 343-1211 F/T 1 U WEST COAST DNTL #021703 3380 LA SIERRA AVE STE 108 (951) 354-9999 P/T 1 U ROSAMOND ADORA OKAM DDS INC #037227 1431 W ROSAMOND BLVD STE 12 (661) 256-2560 F/T 1 U ROSEMEAD CST DENT ROSEMEAD #003513 4100 ROSEMEAD BLVD (626) 575-1161 F/T 1 P/T 11 (CH, TA, CA, SP) GLENROSE DNTL 8951 GLENDON WAY (626) 288-7667 P/T 2 (TA, CA, CH, SP)

#007893

MIN LWIN, DDS #001705 8038 GARVEY AVE STE B (626) 571-7000 P/T 2 (CH, SP, CA) U ROSEMEAD FAM DNTL 7556 GARVEY AVE (626) 573-2000 P/T 1 (SP, CH)

#016231

SETHI FAM DNTL CNTR #003133 2111 SAN GABRIEL BLVD STE I (626) 280-4976 F/T 1 (SP) U

66

ROWLAND HEIGHTS GRACE DNTL CARE 17827 COLIMA RD (626) 965-7888 F/T 1 (TA, KO, SP)

#020364 U

UNIQUE FAMI COSM DENT #043072 18558 GALE AVE STE 266 (626) 581-3188 F/T 1 (12, CH) U VALLEY DNTL CNTR #005418 17595 ALMAHURST ST STE 101-2 (626) 965-7445 F/T 2 (SP, VI, TA) U SAN BERNARDINO DUMITRESCU, DDS, INC #034689 290 W ORANGE SHOW RD STE 105 (909) 883-2813 F/T 1 (SP) AHMED NAJI, DDS #015305 1799 N WATERMAN AVE STE E (909) 883-8282 P/T 1 (AR, SP) ALEJANDRA GALINDOMAGALLANES 740 W 3RD ST (909) 888-3688 P/T 1 (SP)

#010256

ALOHA DNTL PRACTICE #018203 1799 N WATERMAN AVE STE D (909) 882-3745 P/T 1 ARROWHEAD FAM DENT #011183 407 S E ST (909) 889-3300 F/T 1 P/T 8 (SP, HI) BRENDA LOUKA, DDS #193501 1848 COMMERCE CENTER EAST (909) 382-0255 F/T 1 (SP, FR, AR) U CITRUS DENTAL #193801 242 E AIRPORT DR STE 100 (909) 890-0050 F/T 1 (SP) U D STREET DNTL 1579-81 NORTH “D” ST (909) 889-1977 F/T 1 (KO, SP)

#284301

HOANG NGUYEN, DDS #011007 1918 BUSINESS CNTR DR # 210 (951) 276-2877 P/T 1 (VI, SP) NARGIZYAN, DDS #010904 1655 N MOUNT VERNON AVE # B (909) 885-8707 F/T 1 P/T 2 (SP) HUB PLAZA DNTL #012744 1047 HARRIMAN PL STE B (909) 796-6700 P/T 3 (SP) U

SHWARTZMAN, DDS #015306 2130 N ARROWHEAD AVE STE 207 (909) 475-5565 P/T 1 (RU) INLAND DNTL CENTER #1C7601 362 E VANDERBILT WAY (909) 384-1111 F/T 2 P/T 2 (KO, VI) U MGO DENTAL.COM 654 W 4TH ST # A (909) 386-3650 P/T 1 (AR, SP, TA, FR)

#025852 U

SAN BERNARDINO DNTL #000129 575 W 5TH ST (909) 888-6581 F/T 2 P/T 1 (KO, SP) SIERRA GATEWAY DNTL #013312 4168 N SIERRA WAY (909) 886-8900 P/T 1 (SP, HI) U SOUTHLAND DNTL #007367 399 E HIGHLAND AVE STE 120 (909) 881-0645 F/T 2 (SP) SURE SMILE DNTL OFFICE #011723 275 E 9TH ST STE L (909) 381-5555 P/T 2 (SP) U WATERMAN DNTL #396401 1428 N WATERMAN AVE STE A (909) 889-1111 F/T 1 (SP) U WESTERN DNTL SVS 1199 N E ST (909) 381-6507 F/T 14 P/T 30 (SP)

#036585

WILDWOOD DNTL #032124 3972 N WATERMAN AVE STE 110 (909) 886-4864 P/T 1 (SP) SAN CLEMENTE AESTHETIC DNTL ASSO #022468 1161 PUERTA DEL SOL 100 (949) 218-0433 F/T 1 (SP) U ARTISTIC DENTISTRY #012354 439 N EL CAMINO REAL STE E (949) 366-1177 F/T 1 (SP, PE) U BRIGHTER IMAGE DENT #013844 1031 AVENIDA PICO STE 203 (949) 361-6900 P/T 1 (SP, KO) U SAN CLEMEN DNTL ASSOC #037851 638 CAMINO DE LOS MARES C140 (949) 234-0500 F/T 1 (SP) U

SAN CLEMENTE DNTL #004795 STEVEN HOU, DDS #002496 943 AVENIDA PICO UNIT A 2240 SAN GABRIEL BLVD (949) 366-9555 (626) 288-8357 P/T 3 (SP, TA, VI) U F/T 1 (SP, CH) U U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

TALEGA DNTL #009035 1151 PUERTA DEL SOL STE A (949) 369-8300 P/T 1 (SP, PE) U

COAST DNTL CARE 6585 EL CAJON BLVD (619) 265-0072 P/T 2 (PE, SP)

SAN DIEGO ADVANCED DENTISTRY #023305 4320 GENESEE AVE STE 101 (858) 277-8100 P/T 1 (SP) U

COAST DENT #002411 1333 CAM DEL RIO S STE 202 (619) 260-4990 F/T 10 P/T 10 (SP)

MARK RIEDLER, DDS 4167 OHIO ST (619) 281-6635 F/T 2 (AR, SP)

COS & FAM DENTISTRY #014130 9636 TIERRA GND ST STE 105 (858) 549-4511 F/T 1 (AM)

MESA DENTAL #040427 7625 MESA COLLEGE DR STE 100 (858) 514-4290 F/T 1 P/T 1 (SP, TA, PE) U

ELLIE’S GENTLE DENTY #034682 2020 CAM DEL RIO N STE 101 (619) 542-1800 P/T 1 (PE, SP) U

MESA FAMILY DENTAL #037980 5450 CLMNT MSA BLVD STE C (858) 503-6789 F/T 1 (TA, PE, VI) U

FARAJZADEH, DDS 3867 CLAIREMONT DR (858) 581-6535 P/T 1 (PE)

#039542

MISSION BAY DENTAL #3C6901 4295 GESNER ST STE 2B (619) 275-2750 F/T 1 (SP)

EXTREME SMILE 5927 BALBOA AVE (858) 751-5733 F/T 1 (SP, PE)

#012036

MISSION DNTL CENTER #032501 5995 MISSION GORGE RD STE A (619) 280-6500 P/T 1 (PE, SP)

EZSMILE DENTAL 8226 MIRAMAR RD (858) 689-6088 P/T 1 (12)

#036859

MISSION VLY DENT #044371 5638 MSSN CTR RD STE 107 (619) 220-0159 F/T 1 P/T 1 (SP) U

FIFTH AVENUE DNTL 450 A ST STE 200 (619) 233-3338 F/T 1 (SP, PE)

#042861

AESTHETIC DNTL PRAC #010385 4242 CAMINO DEL RIO N STE 24 (619) 640-3400 P/T 1 (SP, PE) U AFFORDABLE DENTISTRY #013833 4501 MISSION BAY DR STE 2E (858) 270-6626 F/T 1 (SP, PE, TR) ALAN G MICHELS 4990 70TH ST (619) 466-7166 F/T 2

#045512

ALLEGIANCE DNTL INC #013870 4690 GENESEE AVE, STE# B (858) 279-6100 P/T 1 (SP) U AMERICAN DNTL CLINIC #040744 5382 CLAIREMONT MESA BLVD (858) 277-6620 F/T 1 (RU, SP, TA) U APPLE DENTAL 1540 FERN ST (619) 236-9549 P/T 1 (CH, PT, SP, VI)

#3C0401

REDDY DDS INC #038328 5440 MOREHOUSE DR STE 1800 (858) 433-8798 F/T 1 (HI, SP) U BERNARDO DNTL OFFICE #385601 16466 BERNARDO CTR DR # 185 (858) 676-1845 F/T 2 (SP, VI, TA, HI) U BERNARDO HTS DNTL #020249 15731 BERNARDO HGHTS PKW 101 (858) 674-6813 F/T 1 P/T 2 (KO, SP) BOULEVARD DNTL CNTR #031633 3531 EL CAJON BLVD # A (619) 584-8975 F/T 1 (SP, VI) CARMEL MT DENTISTRY #035136 10175 RCH CARMEL DR STE 126 (858) 675-9055 F/T 1 (FR, HE, SP, TA, VI) U CARMEL PL DNTL CNTR #012711 11738 CARMEL MOUNTAIN RD (858) 675-1180 F/T 1 (SP, TA, PE) U CLAIREMONT SMILES DENT #045266 5675 BALBOA AVE (858) 268-0110 P/T 1

#010687

U

JAMES F MISLA, DDS #034042 3737 MORAGA AVE STE A208 (858) 866-0656 F/T 1 (TA, SP) U #377901

U

NASER OSTAD, DDS #002826 12330 CARMEL MTN RD STE C4 (858) 485-0555 F/T 1 (FR, PE)

GENE MOORE, DDS #231301 286 EUCLID AVE STE 201 (619) 263-6683 F/T 1 (SP, CH)

NEW AGE DNTL #039732 11968 BERNARDO PLAZA DR (858) 521-0000 F/T 1 (SP, PE) U

GENTLE DNTL LA JOLLA #035057 9339 GENESEE AVE STE 240 (858) 552-1244 P/T 2 (SP, AR) U

OASIS SMILES #035574 11611 RANCHO BERNARDO RD 103 (858) 592-9500 F/T 1

GENTLE DNTL MIRA MESA #010274 9855 ERMA RD STE 108 (858) 578-9020 F/T 1 P/T 4

PACIFIC DENTAL #001895 9330 MIRA MESA BLVD STE B (858) 693-9070 F/T 1 P/T 1 (TA, SP, VI) U

GNTL DNTL SORRENTO VLY #004767 11230 SORRENTO VLY RD # 130 (858) 458-9126 F/T 1 P/T 4

PEARL COSMETIC-FAM #018955 13522 SABRE SPGS PKWY # 201 (858) 513-1747 P/T 1 (PE, SP) U

GENTLE DENTISTRY #017306 4765 CARMEL MTN RD STE 205 (858) 350-7400 P/T 1 (GE, PE, SP)

PRIME DNTL CARE #041671 10717 CAMINO RUIZ, STE# 150 (858) 831-9288 F/T 1 (SP) U

GLENN E. HALDY DDS #171301 3670 CLAIREMONT DR STE 14 (858) 273-0540 F/T 1

PRISTINE DENTAL 3078 UNIVERSITY AVE (619) 295-8891 P/T 1 (VI, SP)

#042342

HILLCREST FAM DNTL CR #005735 3330 3RD AVE STE 400 (619) 291-8750 F/T 1 P/T 3 (SP, TA)

RANCHO DNTL 1442 UNIVERSITY AVE (619) 297-6104 F/T 1 (SP)

#189501

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

67

RAY DERAKSHAN, DMD #021704 11134 RCH CARMEL DR STE 103 (858) 485-1010 F/T 1 (PE) U

UNIVERSAL SMILES #042609 1835 EL CAJON BLVD STE E (619) 794-2294 F/T 1 (SP, TA) U

TOOTH FAIRY DENTAL 556 S BRAND BLVD (818) 365-3004 F/T 1 (SP, TA)

RICHARD KATNIK, DDS #008101 7319 CLAIREMONT MESA BLVD (858) 569-9651 F/T 3 (KO, TA, RU, FR, SP)

WESTVIEW DNTL OFFICE #007133 13350 CAMINO DEL SUR STE 6 (858) 484-9977 P/T 1 (SP)

SAN DIEGO DNTL ARTS #030326 2168 BALBOA AVE STE 1 (858) 273-2800 F/T 1 (FR, SP, PE)

WILLIAM CARLO, DMD 3333 5TH AVE STE 150 (619) 299-2550 F/T 1 (SP)

#022122

SAN GABRIEL DEL MAR FAM DENT #001455 702 S DEL MAR AVE STE A (626) 287-9781 P/T 1 (SP, AR) U

SMILE SAN DIEGO #031631 2650 CAM DEL RIO N STE 102 (619) 298-0521 F/T 1 P/T 3 (TA, PT, SP)

SAN DIMAS BOUZ DNTL CORP #3C6601 639 E FOOTHILL BLVD STE A (909) 599-2029 F/T 1 (RU, AR, SP)

HAI-SOU CHEN, DDS #038500 301 W VALLEY BLVD STE 222 (626) 573-5637 F/T 1 (CA, 12) U

SMILECARE-MESA 3820 CONVOY ST (858) 569-1100 F/T 2 P/T 10 (SP)

#002539

SMILECARE-MESA 8997 MIRA MESA BLVD (858) 536-5550 F/T 3 P/T 16 (VI, SP)

#002413

SMILES ON THE BAY #011290 3737 MORAGA AVE STE B307 (858) 273-1631 P/T 1 (SP) SORRENTO DNTL CARE #037657 9254 SCRANTON RD STE 108 (858) 453-4003 F/T 1 (SP, PE) U STEPHEN BARAL, DDS #252901 306 WALNUT AVE STE 36 (619) 298-2942 F/T 1 (SP) SUN SMILES DENTISTRY #019050 11120 E OCEAN AIR DR # B105 (858) 792-7823 P/T 1 (12, CH, SP) U SUNNY SMILE DENTAL #035172 3737 MORAGA AVE STE B311 (858) 483-3384 F/T 1 (SP, PE) SUNSHINE DNTL OFFICE #0C2001 9888 CARMEL MTN RD STE B (858) 780-8870 F/T 1 (CH, SP, 12, TA) SUNSHINE DENTISTRY 4230 30TH ST (619) 282-1007 F/T 1 (PE, SP, TA)

#003121

TIERRA TWN DNTL #031135 10645 TIERRASANTA BLVD STE B (858) 277-6080 F/T 1 (SP, VI, IT, GE) U TIERRASANTA DNTL #012742 10405 TIERRASANTA BLVD (858) 492-9300 F/T 2 P/T 2 (SP, AR, HI) U

68

PLAZA DNTL OFFICE 1120 VIA VERDE (909) 599-2444 F/T 2 (SP, FR, GE)

#199901

SAN DIMAS DNTL 923 W ARROW HWY (909) 592-5599 F/T 2 P/T 1 (SP)

#011722

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U

#002380

DR. M LWIN #001457 1739 S SAN GABRIEL BLVD (626) 288-5777 P/T 2 (CH, CA, SP)

LAS TUNAS FAM DENT 1107 E LAS TUNAS DR (626) 285-0031 P/T 1 (12, CA, SP, CH)

#371901

SAN GABRIEL DNTL 6909 ROSEMEAD BLVD (626) 286-8600 P/T 2 (SP)

#023902

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SIERRA DNTL CARE #029952 1301 W ARROW HWY STE 120 (909) 592-8338 F/T 1 (SP, TR, AM, TA, AR)

SAN GABRIEL FAM DENT #001807 531 W LAS TUNAS DR STE B (626) 281-1628 F/T 1 P/T 1 (CH, SP, VI) U

STEVE M. MARTENEY DDS #042631 319 N SAN DIMAS AVE STE D (909) 305-2300 F/T 1

SAN GABRIEL VLY FAM DTL #013313 6503 ROSEMEAD BLVD (626) 286-2156 F/T 1 (SP, TA, CH, FR, RU, 12, CA, VI) U

SUNSHINE SMILE DENT #035071 1033 W ARROW HWY (909) 447-7092 F/T 1 (SP) U

SUN DENTAL #176601 1720 S SAN GABRIEL BLVD (626) 288-9055 F/T 1 (SP, CH) U

SAN FERNANDO ANATOLY VAISMAN, DDS #009384 11273 LAUREL CANYON BLVD (818) 365-7191 F/T 1 (SP, RU)

SAN JACINTO ESPLANADE DENTAL #026167 2191 W ESPLANADE AVE # F106 (951) 487-2999 P/T 1 (SP, VI, TA) U

CALIFORNIA DENTAL #019218 2040 GLENOAKS BLVD STE F (818) 361-3889 F/T 1 (SP, RU, AM)

SAN JACINTO DNTL #035557 701 W ESPLANADE AVE STE K (951) 654-3424 F/T 1 P/T 1

HEAVENLY DENTAL #020926 321 N MACLAY AVE STE A (818) 837-9744 P/T 2 (PE, TA, SP)

SAN JACINTO SMILES #024844 1821 S SAN JACINTO AVE STE D (951) 654-7744 F/T 1 P/T 2 (SP) U

JUAN FALABELLA, DDS #018292 1701 TRUMAN ST STE B C (818) 837-1660 F/T 1 (TA, SP) U

SAN JUAN CAPISTRANO CAPISTRANO DNTL #028936 31878 DEL OBISPO ST STE 105 (949) 487-3273 F/T 2 (SP, AR)

SAN FERNANDO DNTL #325301 1240 TRUMAN ST STE 200 (818) 365-7107 P/T 1 (SP) SAN FERNANDO DNTL CNTR #066801 125 S BRAND BLVD (818) 365-6321 F/T 1 (TA, PE, AM, SP)

HARVARD DNTL #034632 31105 RANCHO VIEJO RD STE C2 (949) 218-3607 F/T 1

MEHRDOKHT DTL CORP #0C9701 UCARE DENTAL #036542 31952 CAMINO CPSTRNO C14 C16 6255 LUSK BLVD STE 250 (949) 240-6888 (858) 658-0691 F/T 1 (TA, SP) P/T 2 (SP, VI) U U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

MICHAEL C MAI DDS #040115 32183 CAMINO CAPISTRANO (949) 489-1013 P/T 1 (VI, PT) U

WESTERN DNTL SVIS INC #041200 169 S RANCHO SANTA FE RD (760) 916-9595 F/T 2 P/T 29 (SP) U

COASTAL IMAGE DENTAL #041953 2700 N MAIN ST STE 115 (714) 571-0228 P/T 1 (CH, KO, SP, VI) U

ORTEGA DNTL CENTER #028173 31726 RANCHO VIEJO RD # B109 (949) 240-0250 P/T 1

WOODLAND DNTL #019237 979 WOODLAND PKWY STE 100 (760) 745-1100 P/T 1 (PE) U

CRYSTAL DENTAL #037145 1125 E 17TH ST STE W127 (714) 541-9203 P/T 2 (FR, SP, CH, VI) U

RW IMPL&COS DENT #030618 31654 RANCHO VIEJO RD # I- 1 (949) 240-4337 F/T 2 (SP) U

SAN PEDRO COHEN-KHERADYAR, DDS #3C8301 138 S GAFFEY ST (310) 514-9100 F/T 1 (SP, PE)

DNTL 4 102 E 4TH ST FL 2 (714) 558-1464 F/T 1 (SP)

SAN JUAN DNTL #036579 31897 DEL OBISPO ST STE 100 (949) 487-0284 F/T 1 (PE, SP, FR) U SAN LUIS OBISPO DISBELL MANSILLA, DDS #007574 1551 BISHOP ST STE 420 (805) 547-7010 F/T 1 P/T 1 (PE, SP, VI, KO, AR, TA, CH)

SAN PEDRO DENTAL 697 S GAFFEY ST (310) 548-1273 F/T 2 P/T 6 (SP)

#019925 U

SAN PEDRO DNTL CARE #044347 520 W 7TH ST (310) 832-5361 P/T 1 (SP)

RICUCCIO NEGOM, DDS #032053 735 TANK FARM RD STE 170 (805) 549-9000 P/T 1 (IT)

SAN PEDRO FAM DENT #039543 204 N PACIFIC AVE (310) 832-8800 F/T 1 (KO, SP) U

SAN MARCOS ANNA DURKIN, DDS #003532 1344 E MISSION RD STE C (760) 740-0070 F/T 1 (RU, SP, FR)

SANTA ANA AFFINITY DNTL CENTER #035873 1920 E 17TH ST STE 100 (714) 953-6881 P/T 4 (SP, TA, HI, RU) U

BRIGHT NOW! SAN MARCOS #033585 752 S RANCHO SANTA FE RD (760) 936-0002 F/T 1 P/T 10 (SP)

ALL STAR DNTL&BRACES #026173 940 N GRAND AVE (714) 541-9494 P/T 2 (SP, PE) U

GRAND PLAZA DNTL #024235 137 S LAS POSAS RD STE 250 (760) 752-7000 F/T 1 (SP) U

ANDREW SHIEH, DDS 1028 W 1ST ST STE E (714) 542-5421 P/T 1 (SP, CH)

#012074

LAS POSAS DNTL #044397 145 S LAS POSAS RD # 162 (760) 736-4247 P/T 2 (SP) U

AQUA DENTAL 1319 N MAIN ST (714) 972-2782 P/T 1 (PE, SP)

#041535

SAN MARCOS DNTL #009368 709 CENTER DR STE 101 (760) 746-2045 P/T 3 (SP)

ARTHUR CABRERA, DDS #305601 616 W EDINGER AVE (714) 432-1944 (SP) U

SANTA FE SMILES #042348 365 S RCHO SANTA FE RD #201 (760) 471-6011 P/T 1 (SP, PE) U

BARBA DNTL CORP 2010 E 1ST ST STE 250 (714) 558-6949 F/T 1

SMART DENTAL #031325 960 W SN MRCOS BLVD STE 120 (760) 471-8800 P/T 1 (GE, TA, AR, SP) U

BAY DENTAL #160501 3620 S BRISTOL ST STE 307 (714) 540-2836 F/T 1 (SP, VI, PE) U

SMILES OF SAN MARCOS #023810 630 NORDAHL RD STE D (760) 480-1750 F/T 1 (SP, HI, TA) U

BRIGHT NOW DENTAL 1601 W 17TH ST STE G (714) 567-9255 F/T 2 P/T 14 (CH, SP)

#021406

SUN SMILE DNTL #013714 1582 W SN MRCOS BLVD STE 201 (760) 744-1300 F/T 1 (SP, HI)

BRISTOL DNTL&ORTHO 2502 S BRISTOL ST (714) 754-1888 F/T 1 (VI, AR, SP)

#030940

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#029957

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#013085

FAMILY DENTAL #026080 516 A WEST 17TH STREET (714) 972-2506 F/T 1 FRIENDLY SMILE DENTAL #043042 1521 N BROADWAY (714) 972-2801 F/T 1 GEETA SETH, DDS #022099 1120 W WARNER AVE STE C (714) 556-4740 F/T 1 (SP, HI) U IRAJ EBRAMI, DDS #377101 1125 E 17TH ST STE E227 (714) 543-7770 P/T 1 (PE, SP) JASON LEE, DDS INC #022068 2200 E FRUIT ST STE 206 (714) 547-7379 F/T 1 U KIM DDS PROF CORP #022106 2723 N BRISTOL ST STE D2 (714) 550-0006 P/T 1 (SP, KO) U KOH DNTL CORP #040684 2509 W MCFADDEN AVE STE E (714) 835-8797 F/T 1 P/T 1 (SP, KO) LOUIS COHEN, DDS #0C5201 1913 E 17TH ST STE 113 (714) 547-9751 F/T 1 (SP) NANDINI MURTHY, DDS #007333 2723 N BRISTOL ST STE D7 (714) 569-0021 P/T 1 (SP) ORANGE COAST DENTAL #022140 1717 OLD TUSTIN AVE (714) 835-9188 F/T 1 (PE, SP) PINNACLE DNTL #012876 31 E MACARTHUR CRES STE 109 (714) 549-1248 F/T 1 (SP, PE) U PRAKASH PATEL, DDS 2637 N GRAND AVE (714) 288-9980 P/T 1 (HI, SP)

#013087 U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

69

SANTA MARIA DNTL #029916 801 N TUSTIN AVE STE 502 (714) 505-1641 F/T 1 (SP) U

COMFORT DENTAL #043064 26781 BOUQUET CANYON RD (661) 513-0655 F/T 1 (PE, SP, AM) U

#013993 U

GOLDEN TRIANGLE DNTL #034141 21700W GOLDEN TRIANGLE#201 (661) 259-5540 P/T 3 (AR, SP, PE)

SMILECARE-SO COAST #003963 3500 S BRISTOL ST STE 100 (714) 957-6030 F/T 4 P/T 8 (SP) U

VALENCIA DNTL #016418 28134 NEWHALL RANCH RD (661) 607-0202 P/T 2 (SP, AM) U

#013067

ZAK DNTL CARE #131101 26324 BOUQUET CANYON RD (661) 253-4000 P/T 2 (HI, RU, PE, SP) U

SHUI DENTAL 1702 S MAIN ST (714) 796-9253 F/T 1 (SP, CH)

SOUTH COAST DNTL 2231 S BRISTOL ST (714) 556-1001 F/T 3 (SP)

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SO COAST FAM DEN #033554 2781 W MACARTHUR BLVD STE N (714) 556-7277 F/T 1 (SP, PE) U SWEET TOOTH DENTAL #030578 301 1/2 N MAIN ST (714) 547-6600 P/T 2 (SP) U UNITED DNTL CARE 1710 E 17TH ST STE E (714) 564-9000 P/T 1 (SP, AR)

#014796

UNITED DNTL CARE 2222 S MAIN ST (714) 210-0999 P/T 1 (SP)

#036783 U

UNIVERSAL CARE DENT #1C0201 1400 N MAIN ST STE A (714) 480-0434 F/T 3 P/T 5 (VI, SP) U

SANTA MARIA FRIENDLY SMILES DNTL #013162 2528 S BROADWAY STE C (805) 928-6776 F/T 2 (AM, PE, CH, SP, TA) U WESTERN DNTL SVS 2205 S BROADWAY (805) 347-1000 F/T 1 P/T 9

#039647

SANTA MONICA AMERICAN DNTL CENTER #026491 1244 7TH ST STE 204 (310) 394-3942 F/T 1 (FR, PE, GE, SP)

WESTERN DNTL SVS 500 N MAIN ST (714) 973-9005 P/T 19 (SP)

#042516

AMERICAN FAM DTL #011705 900 WILSHIRE BLVD STE 440 (310) 264-5084 F/T 1 (SP, HE, PE) U

WESTERN DNTL SVS 2701 W 1ST ST (714) 973-2022 F/T 4 P/T 15 (SP)

#042518

DOUGLAS OSWELL, DDS #004701 3231 PICO BLVD (310) 828-7429 F/T 2 P/T 1 (SP)

SANTA BARBARA DIERENFIELD, DDS #2C4001 16 W MISSION ST STE A (805) 569-2338 F/T 1 (SP) GENTLE DNTL 330 STATE ST STE A (805) 963-1533 F/T 2 P/T 1

#009433 U

SEA BREEZE/DR ZAK #0C6701 5168 HOLLISTER AVE STE A (805) 683-5300 F/T 1 P/T 2 (RU, SP) U

70

SANTA FE SPRINGS SANTA FE DENTAL #002239 10009 ORR AND DAY RD (562) 484-0808 F/T 1 (SP)

FIELD & FIELD DDS #200401 1807 WILSHIRE BLVD STE A (310) 453-5436 F/T 1 (SP) U SANTA MONICA DENTAL #0C9801 1244 7TH ST STE 101 (310) 393-0743 F/T 1 (PE, SP) SUPER DNTL CARE #013060 3200 STA MON BLVD STE 204 (310) 453-8907 F/T 1 (SP, PE) WHITER & BRIGHTER DEN #012072 3201 WILSHIRE BLVD STE 110 (310) 829-5181 P/T 2 (JA, FR, AR, RU) U

SANTEE EDWARD REIDY, DDS 9280 MAST BLVD (619) 449-8530 F/T 1

#219501

SANTEE COTTONWOOD #021839 9715 MISSION GORGE RD (619) 448-7444 P/T 2 (SP, PE, TA, RU) SANTEE TWN CNTR DNTL #023560 246 TOWN CENTER PKWY (619) 312-6006 F/T 2 P/T 3 (TA, PE, SP) U TOWNE CENTER DNTL #006421 9862 MISSION GORGE RD STE E (619) 596-1600 F/T 1 P/T 3 (SP) SAUGUS BOUQUET SMILE DENTAL #015061 28100 BQT CYN RD STE 200 (661) 263-6923 P/T 1 (TA, VI, SP) U SEAL BEACH GILBERT UNATIN, DDS #144701 1900 SAINT ANDREWS DR STE A (562) 430-1054 F/T 2 P/T 1 NESSIM DDS INC 1058 BOLSA AVE (562) 594-4885 P/T 1 (SP, AR)

#000056

SHERMAN OAKS ANAIT ALABYAN, DDS #018911 4910 VAN NUYS BLVD STE 200 (818) 788-2121 F/T 1 (RU, SP, AM) DAVID ISAACS, DDS INC #032329 4350 WOODMAN AVE (818) 981-4508 F/T 1 (HE, SP, AF) KAREN ARAKELIAN, DDS #3C5101 4940 VAN NUYS BLVD STE 102 (818) 995-3377 F/T 1 (RU, SP, AM, FR) KW CHENG & V THAY INC #007604 13732 VENTURA BLVD (818) 907-9533 F/T 1 P/T 1 (SP, AM, CA, VI) U SHERMAN OAKS COS DLT #029515 4955 VAN NUYS BLVD STE 520 (818) 990-4121 P/T 6 (TA, PE, SP, AM) U SIMI VALLEY ANIT NATT, DDS #002379 1420 E LOS ANGELES AVE STE D (805) 581-1191 F/T 1 (SP) U

BORIS ZAK, DDS #333101 SANTA CLARITA 4537 ALAMO ST STE A BRIGHT NOW DENTAL #022749 (805) 520-1100 26477-81 GOLDEN VALLEY P/T 1 U (661) 253-1010 F/T 1 P/T 11 (PE, SP) U U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

BRIGHT NOW! SIMI VALLEY #040224 2490 SYCAMORE DR STE A (805) 426-6163 F/T 1 P/T 7 (SP) U

TYLER DNTL CARE #018903 1928 TYLER AVE STE D168 (626) 443-7922 F/T 1 (SP, KO)

S PASADEND GEN DENT #005220 1506 HUNTINGTON DR (626) 799-2888 F/T 1 (SP) U

DNTL CRE OF SIMI VALLEY #176101 1687 ERRINGER RD STE 201 (805) 527-3534 F/T 1 (SP, AM, PE) U

UNIVERSAL FAM DENT #012747 10012 GARVEY AVE STE 11 (626) 433-1300 P/T 1 (SP, VI) U

DNTL CNTR SIMI VALLEY #011400 4210 E LOS ANGELES AVE STE F (805) 579-0600 P/T 1 (GE, PE, AM, SP) U

WHELAN LOK, DDS INC #013660 10050 GARVEY AVE STE 105 (626) 444-4220 F/T 2 (CA, SP, CH) U

SPRING VALLEY SMILEBURST DENT #1 645 SWEETWATER RD (619) 464-0426 P/T 2 (SP, TA, KO)

FIRST STREET DNTL #012685 1197 E LOS ANGELES AVE STE E (805) 583-5700 F/T 1 P/T 2 (PE, SP, TA) U

SOUTH GATE ADULT & CHILD DNTL #114601 4444 TWEEDY BLVD (323) 564-2444 F/T 20 P/T 3 (PE, CH, TA, SP, VI) U

PROUSSAEFS, DDS #022557 1445 E L.A. AVE STE 300 (805) 526-8296 F/T 1 (SP, GR) U RALPH MAIELLO DDS, INC #253401 495 E LOS ANGELES AVE (805) 584-2228 F/T 2 P/T 1 (VI, SP) SIMI VALLEY DNTL #006362 2410 SYCAMORE DR STE A (805) 522-2600 F/T 1 P/T 1 (PE, AM, SP, RO) U SIMI VALLEY SMILES #029185 2650 TAPO CANYON RD STE 107 (805) 522-5516 P/T 2 (SP, PE) SMILE PLANET DNTL 2486 ERRINGER RD (805) 520-0100 P/T 2 (PE, SP)

#033337 U

TED CHAFFEE, DDS #020858 2950 SYCAMORE DR STE 103 (805) 527-6400 F/T 1 (SP) U SOUTH EL MONTE ANTHONY S PAN #043573 9328 GARVEY AVE STE A (626) 350-0588 F/T 1 P/T 1 (SP, VI, CA) U

CASTLE DNTL CENTER 4433 TWEEDY BLVD (323) 567-1227 F/T 3 P/T 7 (SP, AM)

#016011

DR NAZIRI DNTL CLINIC #012712 4186 TWEEDY BLVD (323) 569-7131 F/T 1 (SP, PE) FAMILY DNTL CENTER 5814 IMPERIAL HWY (562) 869-2755 F/T 1 (SP)

#024650

HENRY SHAFAJOO, DDS #016762 2639 SANTA ANA ST (323) 583-1481 P/T 1 (SP, PE) U LETICIA J JACOBS, DDS #023240 8200 LONG BEACH BLVD STE E (323) 581-0707 F/T 1 (SP) U

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STANTON BRIGHT NOW! STANTON #012597 11001 BEACH BLVD (714) 891-6623 F/T 1 P/T 14 (SP, VI) U JEFFREY CHU, DDS INC #003203 7025 KATELLA AVE (714) 229-1234 P/T 1 (CH, SP, TA, TH, CA) U SMILE ACADEMY 12793 BEACH BLVD (714) 903-9963 F/T 1 P/T 1 (SP, HI)

#017482 U

SMILE FAMILY DENTAL #016546 7757 KATELLA AVE STE D (714) 209-7702 F/T 1 (CH, SP) U STUDIO CITY ROYAL DNTL SPA 11711 MOORPARK ST (818) 505-1211 P/T 1 (AM, RU, SP) S C DNTL CARE 4366 TUJUNGA AVE (818) 985-5462 P/T 2 (PE, SP)

#016138 U #005484

ADROS FAM DNT 3173 TWEEDY BLVD (323) 564-4554 F/T 1 (AR, SP)

#024659

SUN CITY MC CALL DNTL PRACTICE #029312 28115 BRADLEY RD STE 3 (951) 723-1188 P/T 1 (PE, SP)

OMID SO GATE DENT 10530 ATLANTIC AVE (323) 569-5000 P/T 1 (SP, PE)

#013515

MENIFEE DNTL #007537 29950 HAUN RD STE 302 (951) 679-1667 F/T 3 P/T 3

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ATLAS DNTL CARE #032337 2732 SANTA ANITA AVE (626) 444-2605 F/T 2 (PE, SP, VI) U

PERFECT SMILE #013164 5863 IMPERIAL HWY STE 2A (562) 862-1345 F/T 1 P/T 1 (SP, PE) U

#044016

SAMIR KHAYAL, DDS #025120 5841 FIRESTONE BLVD STE C (562) 806-8611 F/T 1 (AR, SP)

DR BERI’S DNTL OFFICE #022740 10496 GARVEY AVE (626) 442-5678 P/T 1 (HI, SP) U

WEST COAST DENTAL #285201 4149 TWEEDY BLVD STE J (323) 567-3333 P/T 3 (PE, SP) U

DURFEE DNTL OFFICE #003135 2001 SANTA ANITA AVE STE 204 (626) 443-3915 F/T 4 (SP, CH, VI, TA, JA)

SOUTH PASADENA HEALTHY SML FAM DENT #011027 1315 FAIR OAKS AVE STE 103 (626) 799-8068 P/T 2 (SP) U

BELLA DENTAL 10811 GARVEY AVE (626) 442-6115 P/T 1 (SP, HI)

#020927

SUN CITY DENTISTRY #029914 28125 BRADLEY RD STE 210 (951) 679-0520 F/T 1 (PE) U SUN VALLEY MISHRA & KRIPALANI #011030 8381 LAUREL CANYON BLVD (818) 768-7800 F/T 1 P/T 1 (SP, HI) FAMILY DENTISTRY 8805 SUNLAND BLVD (818) 767-5243 F/T 1 (SP, TA)

#379901

FRESH SMILE DNTL 8215 SUNLAND BLVD (818) 252-7222 F/T 1 (PE, SP)

#022771

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U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

71

UNIVERSAL CRE DENT #128001 9375 SAN FERNANDO RD STE 602 (818) 504-9876 F/T 3 P/T 8 (SP, FR, CH, IT) SUNLAND SUNLAND DNTL CARE 7902 FOOTHILL BLVD (818) 353-5520 P/T 2 (SP, AM, PE) SUNLAND FAM DENT 8522 FOOTHILL BLVD (818) 352-8888 P/T 1 (SP, AM, RU)

#134101 U #010644 U

SYLMAR AMER SMILE DNTL CARE #034824 13203 A GLADSTONE AVE (818) 833-0444 P/T 2 (PE, SP) U

TEMECULA BONA FIDE DENTAL #045263 32909 TEMECULA PKWY STE 102 (951) 303-3288 F/T 1 BRIGHT NOW! DENTAL #014356 30571 TEMECULA PKWY STE D (951) 693-2079 P/T 14 (PE, VI, SP) U

OASIS FAM DENTAL #004223 41278 MARGARITA RD STE 101 (951) 695-2290 F/T 1 P/T 3 (SP) U TEMPLE CITY FRIENDLY DNTL CARE #022355 10455 LOWER AZUSA RD (626) 444-3744 F/T 1 (HI, FR, CH, RU, AM, SP, PE) HAPPY SMILE DENTAL 9600 LAS TUNAS DR (626) 286-9600 F/T 1 (VI, CA, CH)

#029967 U

BRIGHT NOW! DENTAL #023259 39804 WINCHESTER RD STE B (951) 695-7100 F/T 1 P/T 12 (SP, TA) U

THERMAL CNTR MEDICO COACHELLA #042979 55557 CAMPUS RD (760) 399-4526 F/T 1

EZ DNTL SPEC GROUP #043163 12940 FOOTHILL BLVD STE C (818) 408-5100 P/T 1 (HI, SP) U

BUTTERFIELD DENTAL #024592 33321 TEMECULA PKWY STE 104 (951) 302-7508 P/T 1 (SP, CH, VI) U

ALEX BIERMAN, DDS #029564 223 E T. O. BLVD STE 209 (805) 495-1061 F/T 1

KINGS FAMILY DNTL #025912 14124 FOOTHILL BLVD STE 103 (818) 364-9444 F/T 1 P/T 1 (PE, SP) U

CREEKSIDE DENTAL #025685 41785 NICOLE LN STE A3 (951) 699-3250 F/T 1 (SP) U

AMY NABI DDS 394 LOMBARD ST (805) 379-5222 F/T 1 (SP)

#035772

SAINT MINA FAM DENT #022488 12601 SAN FERNANDO RD STE H (818) 364-1991 F/T 1 (SP, FR, AR) U

FRIENDLY DNTL CNTR #036408 28314 OLD TOWN FRONT ST (951) 676-8920 F/T 1 (SP) U

DAR RADFAR, DDS 1459 E T O BLVD STE B (805) 497-9408 F/T 1 (FR, SP, PE)

#015562

SINAI DNTL #013285 13060 GLENOAKS BLVD STE 105 (818) 899-1800 F/T 1 P/T 2 (SP, PE, AM, TR) U

MEADOWS DNTL #017606 31843 RCH CA RD STE 300 (951) 676-2613 F/T 1 P/T 1 (RU, HU, SP) U

EAST OAKS DNTL #013796 593 N MOORPARK RD STE B (805) 494-5255 P/T 2 (SP) U

TAFT MARNUEZ & PHAM, DDS #035284 103 ADKISSON WAY (661) 763-5133 F/T 1 P/T 1 U

PACIFIC DNTL #006422 31754 TEMECULA PKWY (951) 694-5255 F/T 2 P/T 2 (SP)

LOMBARD DNTL 245 LOMBARD ST (805) 495-2431 F/T 2 (SP, PE, TA, AM)

PETER BISHAY, DDS INC #024250 28999 OLD TWN FRNT ST # 208 (951) 695-0310 P/T 1 (SP, FR, AR) U

MOJGAN HASHEMI, DDS #363301 415 ROLLING OAKS DR STE 120 (805) 449-9952 F/T 2 (VI, SP, PE)

PROMENADE DNTL CARE #037119 26550 YNEZ RD STE B (951) 296-3011 F/T 1 U

NEW AGE FAM DEN #020284 1429 E T O BLVD STE 101 (805) 230-9212 P/T 1 (HI, SP, PE)

RUBIN NICHOLS, DDS #024227 41690 ENT CIR N STE 114 (951) 296-9661 P/T 2 U

PRISM DNTL #030675 355 E AVE ARBOLES STE A (805) 241-5353 P/T 1 (HI, SP) U

SMILECARE-TEMECULA #003887 40620 WINCHESTER RD STE B (951) 719-3182 F/T 3 P/T 9 (TA, SP) U

ROYAL DNTL SPA #013064 1459 THOUSAND OAKS BLVD # A (805) 494-1831 F/T 1 (FR, PE, SP, RU)

TEMECULA DNTL #253101 41593 WINCHESTER RD STE 211 (951) 296-3366 F/T 2 P/T 4 (SP, TA) U

DTL & ORTHO #006363 1760 E AVE ARBOLES STE A (805) 493-5200 F/T 1 P/T 1 U

TEMECULA DNTL PRAC #3C7101 29560 RCH CA RD # 100 (951) 699-2144 P/T 3 (SP)

WESTLAKE SMILE CNTR #032018 3665 E THOUSAND OAKS BLVD (805) 496-3347 F/T 1 P/T 1 (SP, PE, HU) U

TARZANA HOFFMAN, DDS INC #017122 5620 WILBUR AVE STE 316 (818) 345-7720 P/T 1 (RU, SP) U FARA SALEHI, DDS #356401 18740 VENTURA BLVD STE 105 (818) 344-3357 F/T 1 (PE, RU, SP) SHAHIN SHAMSIAN, DDS #004796 5620 WILBUR AVE STE 309 (818) 881-1559 P/T 1 (SP, TA, PE) U TARZANA DNTL SPEC #041283 18663 VENTURA BLVD STE 202 (818) 881-9000 P/T 1 (PE, SP) U STOMEL, DMD 19525 VENTURA BLVD (818) 708-7101 P/T 2 (RU, SP)

72

TEHACHAPI DEDICATED DNTL VLY #2C8901 20300 W VALLEY BLVD STE A (661) 822-1134 P/T 4 (SP, GE) U

#014329

#244501 U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

TOLUCA LAKE ESTEBAN BONILLA, DDS #0C4401 10745 RIVERSIDE DR STE B (818) 980-2887 F/T 1 (CH, SP, TA) U TINA GHOTANIAN, DDS #3C3001 10916 RIVERSIDE DR (818) 762-9966 F/T 2 (SP, AM) TORRANCE BEAUTIFUL SMILE #034768 1431 W KNOX ST STE 800 (310) 320-1180 F/T 1 (SP, PE) U ALL CARE DENTAL #029959 19019 HAWTHORNE BLVD 100 B (310) 371-0113 P/T 1 (SP, KO, JA, TA) ALL SMILES FAM DNTL #001370 18506 HAWTHORNE BLVD (310) 370-7500 P/T 2 (SP, PE, CH) U GRACE CATALAN, DMD #021679 22759 HAWTHORNE BLVD (310) 373-9522 F/T 1 (TA, SP) U BLUE SKY DNTL 17311 YUKON AVE (310) 324-3333 P/T 1 (FR, PE, SP)

#012660 U

DNTL ASSOC OF TORRANCE #018805 21229 HAWTHORNE BLVD STE A (310) 792-5600 P/T 1 (SP) U DOWNTOWN FAM DENT #009606 2055 TORRANCE BLVD (310) 320-0707 F/T 1 P/T 2 (SP, RU, HI, TA, GE) U DR CAMPBELL CENT DENT #013538 1270 SARTORI AVE (310) 320-1471 P/T 2 (KO, SP) E YONSEI DNTL OFFICE #038322 24205 HAWTHORNE BL# B (310) 375-5101 F/T 1 (KO) JOSHUA CHIU DDS INC #001810 21320 HAWTHORNE BLVD STE 212 (310) 543-1003 F/T 1 (JA) U REDONDO BECH FAM DENT #039028 2130 REDONDO BCH BLVD STE F (310) 768-8281 F/T 1 (KO, SP) U SMILECARE-TORRANCE #003954 923 W CARSON ST (310) 533-1300 F/T 3 P/T 8 (SP, VI, TA) U TORRANCE DNTL ARTS #0C8701 23326 HAWTHORNE BLVD STE 190 (310) 378-8209 P/T 2 (SP, TA, VI) U

TORRANCE DNTL ASSOC #347301 17305 CRENSHAW BLVD (310) 327-4166 F/T 2 (PE, TA, SP) U

SMILE DNTL CARE #033150 14001 NEWPORT AVE STE C (714) 508-8500 F/T 1 (SP, VI) U

TORRANCE DNTL CNTR #011200 21150 HAWTHORNE BLVD STE 101 (310) 371-0777 F/T 1 P/T 1 (SP, TA, PE) U

SOUTHLAND DNTL ARTS #004385 740 EL CAMINO REAL 200 (714) 838-3230 F/T 1 P/T 1 (SP, HI)

TORRANCE FAMILY DNTL #034737 18039 CRENSHAW BLVD STE 100 (310) 532-4005 F/T 1 (PE, SP)

TUSTIN DNTL CARE #011651 12575 NEWPORT AVE STE B (714) 731-6100 P/T 1 (AR, SP) U

UNIVERSAL CARE DENTAL #127901 1001 W CARSON ST STE H (310) 618-1522 F/T 3 P/T 10 (VI, SP, FR, CH, IT, TA) U

TUSTIN DNTL OFFICE #1C6201 13721 NEWPORT AVE STE 1 (714) 368-1400 P/T 3 (SP) U

VILLAGE FAMILY DENTAL #2C4201 1235 SEPULVEDA BLVD (310) 530-9656 F/T 1 P/T 1 (GR, VI, SP) U

TUSTIN SMILE CARE #033312 13422 NEWPORT AVE STE E (714) 665-0005 F/T 2 P/T 1 (SP, HI)

WEST COAST DENTAL #356001 1730 SEPULVEDA BLVD STE 1 (310) 325-8888 P/T 1 (SP) U

UPLAND ALTA DNTL CARE 1113 ALTA AVE STE 205 (909) 985-6116 F/T 1 (SP)

ZAKARIA, DDS #012443 4350 REDONDO BEACH BLVD (310) 370-2966 F/T 1 (SP, AR) TUSTIN A A FAMILY DNTL #002827 18102 IRVINE BLVD STE 205 (714) 731-5656 F/T 2 P/T 1 (PE, VI, SP, HI, TA) U

U

BRIGHT NOW! UPLAND #040225 280 S MOUNTAIN AVE (909) 285-3160 P/T 9 CROSSROADS DNTL #013797 1875 N CAMPUS AVE STE C (909) 985-2302 F/T 2 P/T 2 (SP) U

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DUROSEAU, DDS INC #033181 930 W FOOTHILL BLVD STE D (909) 608-2390 F/T 1 (SP, FR)

DENTISTRY BLOSSOM #041502 18102 IRVINE BLVD STE 200 (714) 832-7220 F/T 1 (HI, SP) U

DANNY LEE, DMD #032714 1049 W FOOTHILL BLVD (909) 985-1966 F/T 1 P/T 1 (VI, FR, SP, KO) U

KAY KIM DENTAL #015838 13132 NEWPORT AVE STE 220 (714) 505-2010 F/T 1 (KO) U

DOUGLAS JOHNSON, DDS #017301 980 E FOOTHILL BLVD STE 104 (855) 331-3334 F/T 1 (SP) U

MASOUD ARAM, DDS #037842 13771 NEWPORT AVE STE 11 (714) 838-7777 F/T 1 (PE) U

ERIC CHIANG, DDS 1273 W 7TH ST (909) 920-9543 F/T 1 (SP, CH, 12)

#000232

NADIA REZAIAMIRI, DDS #000188 13372 NEWPORT AVE STE F (714) 665-0898 F/T 1 P/T 1

GROVE DNTL 485 E FOOTHILL BLVD E (909) 291-8625 F/T 1 (SP, AM, RU)

#025179

SHERWOOD FAM DENT #044057 13891 NEWPORT AVE STE 110 (714) 924-3200 P/T 2 U

KAKANAR, DDS 270 E 7TH ST STE 2C (909) 982-8501 F/T 1 (SP)

#029561

SIMONA KISS, DDS #014939 18102 IRVINE BLVD STE 201 (714) 730-9656 F/T 1 (SP, HU, RO) U

PAREDES DDS #042358 615 N BENSON AVE STE F (909) 949-4070 F/T 1 (SP) U

AMIT SHAH, DDS 17602 17TH ST STE 105 (714) 544-7511 P/T 1 (SP)

#011530

#021409

U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

73

UPLAND DNTL AESTH&ORTHO #044164 121 W FOOTHILL BLVD STE E (909) 982-9800 F/T 1 (PE, SP, AR) U

VALENCIA DNTL 26938 OLD ROAD STE P (661) 799-0886 F/T 2 P/T 1 (SP)

YUEN SIANG HUNG, DDS #367301 1268 W FOOTHILL BLVD (909) 981-4111 P/T 1 (SP) U

VALLEY VILLAGE ALLEN ZEBRACK, DDS #013584 12840 RIVERSIDE DR STE 406 (818) 763-9701 F/T 1 (SP)

VALENCIA BAYWOOD DNTL #012352 24121 BAYWOOD LN STE A (661) 291-1200 P/T 1 (AM, SP) U

CHANDLER DENT #305301 4717 LAUREL CYN BLVD STE 200 (818) 508-2250 F/T 1 P/T 1 (SP, TA) U

C2 DENTISTRY #024808 28212 K JOHNSON PKWY STE 180 (661) 702-0940 F/T 1 P/T 1 (CH, VI, PE, 12)

NOURI DNTL CORP #035058 5216 LAUREL CANYON BLVD (818) 769-1347 P/T 1 (AM, SP, PE) U

CANYON DNTL #015666 28237 NEWHALL RANCH RD (661) 257-4242 P/T 2 (PE, SP) U

VAN NUYS AFFORDABLE GNTL DENT #007276 6600-A VAN NUYS BLVD (818) 782-5020 F/T 1 P/T 1 (SP, PE, HE, CH) U

DANIEL LIBERMAN, DDS #017244 23501 CINEMA DR STE 112 (661) 290-3355 F/T 1 (RU, TA, SP) U DAVID ABRI, DDS #023166 23333 CINEMA DR STE 190 (661) 254-9494 P/T 1 (TA, SP, PE) U KOUTSOUKOS, DDS #030725 24155 MAGIC MOUNTAIN PKWY (661) 222-7724 F/T 1 (GR, SP) U IBRAHIM DNTL CORP #027129 25880 TOURNAMENT RD STE 103 (661) 294-3700 F/T 1 (SP) U MAYO DENTAL #042693 25864 TOURNAMENT RD STE F (661) 291-6500 P/T 1 (SP, PE) U NILDA WOOLARD, DMD #003542 23369 LYONS AVE (661) 259-7702 F/T 1 (SP, TA) U PLDEL RANCHO DNTL #037693 27616 NEWHALL RANCH RD (661) 294-0300 P/T 1 (SP) U LOTUACO, DDS #019548 23501 CINEMA DR STE 207 (661) 753-9456 F/T 1 (SP, TA) U

74

#007664

VALENCIA DNTL CARE 28097 SMYTH DR # C (661) 291-1412 P/T 2 (TA, GE, SP, KO)

#121701

VALENCIA DNTL 24218 VALENCIA BLVD (661) 288-0288 F/T 1 P/T 1 (SP, PE, FR)

#007663

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FAMILY DENTISTRY 2 #022490 15355 SHERMAN WAY STE K (818) 997-7797 P/T 1 (SP) U GLOBAL DNTL PRAC #021782 14434 HAMLIN ST STE 2 (818) 781-5180 F/T 1 (AM, SP) GOHAR HOVSEPYAN, DDS #009429 15333 SHERMAN WAY STE M (818) 909-0200 F/T 1 (RU, SP, AM) U GOLDEN CARE DENT #030582 6330 B VAN NUYS BLVD (818) 785-9944 P/T 1 (SP, PE) HAMLIN DNTL #002801 14401 HAMLIN ST STE D (818) 782-6919 F/T 1 P/T 2 (AM, TA, PE, AR, SP) JOSEPH HAKIMI, DDS 6624 VAN NUYS BLVD (818) 909-9291 F/T 1 (SP, PE)

#019552

ALEJANDRO, DDS 16221 VICTORY BLVD (818) 781-2081 F/T 1 (SP, TA)

#024279

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MIRO ITSKOVICH, DDS 13251 VICTORY BLVD (818) 308-6113 F/T 1 (AM, RO, SP, RU)

#035480 U

PLAZA DNTL CLINIC #006398 7028 1/2 VAN NUYS BLVD (818) 780-8555 F/T 1 (SP, PE) U SHERMAN WAY DNTL #1C8001 7120 HAYVENHURST AVE STE 205 (818) 988-1642 F/T 1 (SP, AM, AR) SINAI DNTL #012781 14550 HAYNES ST STE 101 (818) 780-7555 F/T 1 P/T 4 (PE, SP) U SINAI DNTL 14523 SHERMAN WAY (818) 787-7300 F/T 1 P/T 1 (SP, PE)

#023866 U

SMILECARE-VALLEY #004000 15643 SHERMAN WAY STE 300 (818) 786-2209 F/T 3 P/T 10 (SP) U ST GEORGE DENTAL 6648 VAN NUYS BLVD (818) 781-2500 F/T 1 (SP, AR)

#039022 U

THE DNTL CARE CENTER #035703 7068 SEPULVEDA BLVD (818) 781-1533 F/T 2 (SP, KO) U UNIVERSAL CARE DENT #127701 14600 SHERMAN WAY STE 100B (818) 756-6950 F/T 6 P/T 9 (TA, SP) U VALLEY DNTL CENTER #012592 16440 VANOWEN ST (818) 785-5445 P/T 1 (SP, AR, FR, AM, VI) W CST DTL VAN NUYS 13716 SHERMAN WAY (818) 988-2020 P/T 1 (PE, TA, SP, KO) VENICE CASTLE DNTL CENTER 1440 LINCOLN BLVD (310) 399-9900 F/T 1 P/T 8 (PE, SP)

#013875 U #015952

LOURDES AQUINO, DDS #018879 14435 SHERMAN WAY STE 107 (818) 785-7498 F/T 1 (SP, TA) U

VENTURA AMERIDENT GROUP #2C5201 6555 TELEPHONE RD STE 8 (805) 642-2790 F/T 2 U

BROMONT FAM DTL GRP #022741 14435 HAMLIN ST STE 104 (818) 781-0004 P/T 1 (RU, SP, HI, PE) U

HERNANDEZ CARR, DDS #222901 2100 GOODYEAR AVE STE 11 (805) 985-1159 F/T 1 (SP)

FIROUZBAKHT, DDS #025119 CEDARS DENTISTRY #042424 14100 VICTORY BLVD 3037 MARTHA DR (818) 908-9199 (805) 656-6911 F/T 1 (SP, PE) U F/T 1 P/T 1 (SP, PE) U U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

MAIN STREET DNTL 4360 E MAIN ST STE C (805) 644-6110 F/T 2 P/T 1 (SP)

#016444

MISSION DNTL 26 S GARDEN ST STE I (805) 648-1090 P/T 1 (SP)

#2C9701 U

PACIFIC VIEW DNTL #015605 3585 TELEGRAPH RD STE C (805) 676-1611 P/T 1 (GR, PE, FR, SP) U PLAZA DNTL 4744 TELEPHONE RD (805) 653-0620 P/T 2 (PE, SP)

#045115

VENTURA DNTL #199601 1001 PARTRIDGE DR STE 210 (805) 644-9501 P/T 1 (SP) U WESTERN DNTL SVS 2750 E MAIN ST (805) 643-3556 F/T 1 P/T 13 (SP)

#043599

WOODSIDE DNTL CARE #004109 10883 TELEGRAPH RD (805) 647-1322 F/T 2 P/T 1 VICTORVILLE DESERT DNTL #019900 12640 HESPERIA RD STE A (760) 241-3336 F/T 3 P/T 2 (TA, AR) U

VISTA BUSINESS PARK DENTAL #044944 3211 BUSINESS PARK DR STE A (760) 727-6800 P/T 2 (SP, IT) U GERALD MOORE, DDS 610 S MELROSE DR (760) 941-9000 P/T 1 (SP)

#002708

LA JOLLA TOWNSITE DTL #029747 706 TOWNSITE DR (760) 724-4392 P/T 1 (SP) U LIVE OAK FAM DENTAL #042834 1680 S MELROSE DR STE 108 (760) 599-5805 P/T 1 (SP) U N COUNTY DNTL CARE 1000 E VISTA WAY (760) 940-4266 F/T 2 (SP)

#023433 U

PEARL DNTL FAM PRAC #025817 771 E VISTA WAY STE 101 (760) 560-0600 F/T 1 (SP, AR) PREMIER DNTL ARTS 2311 S MELROSE DR (760) 599-1100 F/T 1 (PE, SP)

#036736

RONALD R. GARNER 612 E VISTA WAY (760) 724-2113 F/T 1 (SP)

#035100

U

U

DESERT SKY DNTL #021052 15667 ROY RODGERS DR #101 (760) 843-5824 P/T 3 (SP)

SMILECARE-VISTA #003104 1010 E VISTA WAY STE A&B (760) 940-8811 F/T 2 P/T 4 (SP, TA)

DESERT VALLEY DNTL #390901 13622 BEAR VALLEY RD STE 10 (760) 245-2010 F/T 1 P/T 3 (SP) U

VISTA DNTL CRE&SPE #036855 138 CIVIC CENTER DR STE 115 (760) 630-5000 P/T 1 (PE, SP) U

DR HATTAR DENTAL #029897 15366 ELEVENTH ST STE F (760) 243-3595 P/T 1 (SP, AR)

VISTA DNTL #006693 435 S MELROSE DR STE 105 (760) 758-7580 P/T 2 (VI, SP)

PROCARE DENTAL #032502 12602 AMARGOSA RD STE D (760) 951-9997 P/T 2 (TA, SP) U

VISTA FAM DNTL CNTR #037283 985 S SANTA FE AVE STE 5 (760) 940-8410 F/T 1 (SP) U

S M BHATT, DDS #306401 14495 SEVENTH ST STE A (760) 245-7800 F/T 3 P/T 8 (RU, SP, HI)

VISTA VLG FAM DENT #032370 950 CIVIC CENTER DR STE B (760) 208-4030 F/T 1 (SP, PE)

VICTOR VALLEY DNTL #026088 14689 VALLEY CTR DR STE E101 (760) 245-0151 P/T 1 (SP, AR, KO) U

WALNUT GONZALEZ DDS INC #039447 20199 VALLEY BLVD STE F (909) 468-0091 P/T 2 (SP)

VIEWPOINT DNTL ASSO #008713 15366 ELEVENTH ST STE G (760) 245-8616 F/T 1 P/T 2 (SP, AR, RU) U

WALNUT HILLS FAM DENT #000652 18758 AMAR RD (626) 912-5599 P/T 1 (SP, AR, FR) WALNUT PARK ALAMEDA DNTL #027165 7700 S ALAMEDA ST # A (323) 585-9200 P/T 1 (SP, PE) U WEST COVINA AMERICAN DNTL 436 N SUNSET AVE (626) 337-7271 P/T 1 (SP, PE)

#031087

BRIGHT NOW DENTAL #013596 1400 W WEST COVINA PKWY (626) 338-4848 P/T 9 (SP) U DNTL CARE BY BLANCO #002091 1031 E AMAR RD (626) 330-6655 F/T 1 (SP) U DNTL MAX #028935 2360 S AZUSA AVE STE B (626) 839-5010 F/T 1 (SP) EDISON DER, DDS 148 N GRAND AVE (626) 858-3305 F/T 1 (SP)

#002401 U

GARVEY DNTL OFFICE #014045 1415 W GARVEY AVE N STE 101 (626) 851-0020 P/T 1 (TA, SP) U GATEWAY DNTL & BRCS #029566 662 S SUNSET AVE (626) 337-9494 F/T 2 P/T 1 (SP, PE) U BARRAMEDA, DMD 1519 E AMAR RD (626) 964-6799 P/T 2 (TA)

#004074 U

LIN MA, DDS #017943 2145 W. GARVEY AVE N (626) 966-4514 F/T 1 (SP, 12) MANINDER SINGH, DDS #314801 1312 W FRANCISQUITO AVE # D4 (626) 918-0171 F/T 1 (SP, HI) NEWPORT DENTAL 151 N AZUSA AVE (626) 331-0076 F/T 1 P/T 6 (SP)

#003510

QUEENS DNTL #329601 910 S SUNSET AVE STE 4 (626) 337-6166 F/T 2 P/T 1 (TA, VI, HI, SP)

TEIN CHUN WANG, DDS #364401 RAFIK YANNI, DDS #221001 1309 N GRAND AVE 2413 S AZUSA AVE (909) 594-7899 (626) 913-1421 F/T 1 (SP, CH, CA) F/T 2 (AR, SP, VI) U U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

75

ROBERT DINH, DDS INC #022884 1414 S AZUSA AVE STE B-16 (626) 919-0415 (SP, VI) SMARTCARE DNTL PRAC #011835 415 S GLENDORA AVE STE A (626) 918-8338 F/T 1 (TA, SP) SMILECARE-W COVINA #003512 1215 W WEST COVINA PKWY (626) 962-8911 F/T 2 P/T 13 (SP) U SO CA DTL SER 1014 S GLENDORA AVE (626) 918-2886 F/T 1 (SP, CH)

#355001

SUNSET DNTL PROF #038242 1042 W WEST COVINA PKWY (626) 960-2766 F/T 2 (SP, KO) W COVINA FAM DENT #160201 450 S GLENDORA AVE STE 106 (626) 856-3317 F/T 1 P/T 9 (HI, SP, RU, TH) U WEST HILLS FALLBROOK DNTL #021392 6739 3/4 FALLBROOK AVE (818) 592-6060 F/T 1 (PE, SP) U GENTLE DENTISTRY #023472 7138 SHOUP AVE STE B7B8 (818) 883-7070 F/T 1 (SP, HI) U PLATT VLGE DNTL 6446 PLATT AVE (818) 716-7001 F/T 1 P/T 1 (SP, AM)

#015734 U

STEPHEN CHEUNG, DDS #013266 23101 SHERMAN PL STE 417 (818) 348-9595 F/T 1 (PE, HE, TA, CA, SP) U WEST HOLLYWOOD W HOLLYWOOD SUNSET #017528 9201 W SUNSET BLVD STE 808 (310) 858-8656 P/T 1 (HE, AM, PE, SP) U EVA DLOOMY, DDS #393001 9201 W SUNSET BLVD STE 501 (310) 278-9121 F/T 1 (AR, SP, FR, HE) U FARAHMAND, DMD #011841 9201 W SUNSET BLVD STE 915 (310) 273-3650 F/T 1 (SP, PE) U SUNSET PLAZA DENTAL #039857 8539 W SUNSET BLVD STE 16 (310) 855-2434 F/T 1 (PE, SP) THIRTY TWO #036195 8763 SANTA MONICA BLVD (310) 289-8222 F/T 1 (SP, TA, PE) U

76

WESTCHESTER ROSENBERG, DDS #002782 8540 S SEPULV BLVD STE 1000 (310) 649-2430 F/T 1 (SP, HE) U WESTCHESTER DNTL CRE #161001 8930 S SEPULV BLVD STE 117 (310) 641-8890 F/T 1 (SP, PE) U WESTLAKE VILLAGE WINKELMAN, DDS 179 AUBURN CT STE 3 (805) 371-0550 F/T 1

#044998

GHOTANIAN DDS PC #001508 870 HAMPSHIRE RD STE C (805) 497-2260 F/T 2 (SP, AM, AR, PE, HI) U SONA GEORGIAN, DDS #011740 32144 AGOURA RD STE 213 (818) 991-4664 F/T 1 (RU, AM, SP) WESTMINSTER HWANG, DDS INC #034668 14120 BEACH BLVD STE 112 (714) 894-0574 F/T 1 (SP, CH) PHAM DNTL CORP #040518 15310 GOLDENWEST ST (714) 893-2411 F/T 1 P/T 1 (VI) U NGUYEN DMD INC #115401 15355 BROOKHURST ST STE 101 (714) 531-5175 F/T 2 (VI) U WESTERN DNTL SVS #042515 8001 WESTMINSTER BLVD (714) 373-9971 F/T 1 P/T 20 (SP) WHITTIER ATLANTIC DNTL 6716 GREENLEAF AVE (562) 696-5544 F/T 2 (PE, SP)

#004909 U

BEVERLY FAMILY DEN #017477 11822 FLORAL DR STE D (562) 692-7870 F/T 1 (PE, SP) FRIENDLY HILLS FM DEN #396701 14544 WHITTIER BLVD (562) 698-9855 F/T 1 (HI, SP) U MITRA ROUINTAN, DDS #025192 9209 COLIMA RD STE 2200 (562) 693-4108 F/T 1 (PE, SP) PRIME CARE DENTAL 10420 WHITTIER BLVD (562) 463-3332 F/T 1 P/T 1 (SP, HI)

#036080 U

BURQUEZ, DDS 11574 HADLEY ST (562) 699-3838 F/T 1 (SP)

#000026

SO CAL FAM DENT 14412 WHITTIER BLVD (562) 693-0788 P/T 1 (PE, VI, SP)

#002501

U

ST MARY MED BLD #022998 7743 PAINTER AVE STE B (562) 698-7113 P/T 1 (SP, AR) VILLAGE DNTL CNTR #016010 6742 GREENLEAF AVE STE 300 (562) 945-1684 F/T 1 (HI, SP, CH) THOMAS TRINH, DDS INC #020307 9150 PAINTER AVE # 105 (562) 320-3333 F/T 1 (SP, VI) U UPTOWN DNTL 6711 GREENLEAF AVE (562) 698-0054 F/T 1 (PE, SP)

#013158

WHITTIER DENTAL 16406 WHITTIER BLVD (562) 694-0396 P/T 2 (SP)

#044913

U

WHITTIER DNTL CNTR #283501 14564 WHITTIER BLVD (562) 693-8202 F/T 1 P/T 1 (TA, KO, SP, PE) WHITTIER SQ DENT #038241 13215 PENN ST STE 200 (562) 696-2862 P/T 2 (IN, CH, 12, PT, SP) WILDOMAR BEAR CRK DNTL & ORTHO #011291 36068 HIDDEN SPRINGS RD # H (951) 678-0790 F/T 2 P/T 2 (SP) U DOYABUT&WATANABE #010723 23905 CLINTON KTH RD STE 108 (951) 304-9700 F/T 2 P/T 1 (SP) UPLAND DNTL IMPL&ORTHO #021702 34859 FREDRICK ST STE 106 (951) 678-9888 P/T 1 (CH, SP) U WILDOMAR DNTL CARE #042634 32100 CLINTON KEITH RD STE E (951) 678-4300 P/T 1 (SP) WILMINGTON DNTL OFFICE #017527 445 E ANAHEIM ST STE M (310) 835-3535 P/T 1 (PE, HE, SP) U JIN YANG, DDS #016541 200 E ANAHEIM ST STE 254 (310) 830-3344 F/T 1 (KO, SP) U

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

LUCY CABIELES, DDS 1455 N AVALON BLVD (310) 835-1842 F/T 1 (SP)

#018606 U

NADER AHDOUT, DDS 22116 VENTURA BLVD (818) 340-3062 F/T 1 (SP, PE)

#002829

VAISHALI PATEL, DDS INC #021646 207 W G ST (310) 549-2400 F/T 1 (SP, EI, HI)

NEW AGE FAMILY DNTL #040681 23111 VENTURA BLVD STE 204 (818) 225-1630 P/T 1

#012740

PIVNICK & ROSEN DDS #0C8001 6325 TOP CYN BLVD STE 518 (818) 346-8840 F/T 1 P/T 1 (SP) U

WILMINGTON DENTAL 1610 N AVALON BLVD (310) 835-3131 P/T 12 (SP, TA)

WILMINGTON FAM DENT #002867 851 W PACIFIC COAST HWY (310) 830-3620 F/T 1 (KO, SP) U

TAFT PLAZA DNTL #027825 20046 VENTURA BLVD (818) 716-0297 F/T 3 (RU, AM, FR, PE, SP) U

WINCHESTER WINCHESTER DNTL CNTR #1C5101 33040 SIMPSON RD (951) 926-2489 F/T 1 (KO, SP)

TOPANGA DNTL CARE 21839 VENTURA BLVD (818) 347-8444 F/T 1 (SP, AM, AR)

WINNETKA PAPAZIAN DDS INC #002853 7616 WINNETKA AVE STE 1 (818) 772-6222 F/T 1 (RU, SP, AM, PE) U SKY DNTL 19725 VANOWEN ST (818) 347-6060 F/T 1 (SP, PE)

#023864 U

WOODLAND HILLS AFFINITY DNTL #030553 5312 COMERCIO LN STE B (818) 884-4338 P/T 1 (PE, SP) AROUND THE COR DNTL #011398 22030 CLARENDON ST STE 102 (818) 999-4445 F/T 1 (SP, PE, TA COS LASER DENTISTRY #015735 22062 VENTURA BLVD (818) 676-1485 P/T 1 (AR, GE, SP, RU) EBRAHIM MIKAIL, DDS 22636 VENTURA BLVD (818) 591-0123 F/T 1 (FR, SP, PE)

#012279 U

ROSEN & ASSO #013689 21500 VENTURA BLVD STE 200 (818) 999-6165 P/T 3 (TH, CH, PE, RU, TA, CA, SP, AM) U

#020404 U

YORBA LINDA E LAKE VLGE DEN #015563 20429 YORBA LINDA BLVD (714) 695-9530 P/T 2 (SP, PE) U NILAR THEIN, DDS #006361 17540 YORBA LINDA BLVD (714) 996-4057 P/T 2 (SP) U RICHARD HAMATY, DMD #017522 18509 YORBA LINDA BLVD (714) 779-1313 P/T 1 YORBA LINDA DNTL #022020 19831 YORBA LINDA BLVD STE A (714) 693-0990 P/T 2 (PE) U YORBA LINDA DNTL #160401 21560 YORBA LINDA BLVD STE C (714) 779-7675 F/T 2 (CH, SP) U YORBA LINDA DNTL #011539 18432 YORBA LINDA BLVD STE D (714) 970-2801 P/T 2 U YORBA LINDA SMILES DNTL GRP #038104 16691 YORBA LINDA BLVD (714) 854-9920 P/T 1 (SP) U

IMANKHAN, DDS #023127 23111 VENTURA BLVD STE 104 (818) 225-7768 F/T 1 (FR, PE, SP)

YUCAIPA IMPERIAL DNTL PRACTICE #000925 34880 YUCAIPA BLVD (909) 797-1136 F/T 1 P/T 1 (SP)

KATHY DAROEE DDS #039744 6325 TOP CYN BLVD STE 504 (818) 347-1550 P/T 1 (SP, PE, FR) U

YUCAIPA FAM DENT #157601 34488 YUCAIPA BLVD STE F (909) 797-0303 F/T 1 (SP, KO, GE, JA)

YUCCA VALLEY Y. CHANG, DDS #011631 7024 AIRWAY AVE STE A (760) 365-2351 F/T 1 (KO, SP)

Southern California Offices (Closed) ALISO VIEJO ROBERT MURRAY, DDS 2 MAREBLU STE 100 (949) 831-4655 P/T 1 (VI, TA, KO, SP) ANAHEIM DANNY THOMAS, DDS 601 S EUCLID ST (714) 778-0700 P/T 1 (RU, SP, VI)

#271701 U #188001

DRS WONG #256401 408 S BEACH BLVD STE 206A (714) 995-3051 F/T 1 P/T 1 (CA, CH) F FOROUTAN, DDS INC #000219 5031 E ORANGETHORPE AVE # B2 (714) 693-1889 F/T 1 (SP, PE) NANDINI MURTHY, DDS #183601 1801 W ROMNEYA DR STE 201 (714) 774-2638 P/T 1 (SP, HI) BAKERSFIELD CENTRAL VALLEY DENTAL #018808 1415 BRUNDAGE LN (661) 323-0076 F/T 1 (SP, TA) U KENNETH KRAUSS, DDS #131001 1919 G ST (661) 323-8585 F/T 1 BALDWIN PARK IMPRESSIVE DNTL CARE #033416 14510 TOWNE CENTER DRIVE F2 (626) 851-4444 P/T 1 U LUIS ALVARADO, DDS 3936 MAINE AVE (626) 856-3456 F/T 2 (SP)

#025183

BELLFLOWER BENJAMIN WOO, DDS #354901 17802 CLARK AVE (562) 925-3715 F/T 1 (CH, 12, TA, CA, SP) BEVERLY HILLS CLAY LOVEDAY, DMD #017520 416 N BEDFORD DR STE 209 (310) 248-3607 U

CAMARILLO STARS DNTL INC #025222 1727 E DAILY DR STE H (805) 764-0222 F/T 1 (SP, PE) U U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

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CANOGA PARK ALLURE DENTAL #022417 8358 TOPANGA CANYON BLVD (818) 348-8400 F/T 1 (SP, AM)

CYPRESS HARISH HEGDE, DDS #013531 9111 VALLEY VIEW ST STE 106 (714) 995-1222 F/T 1 (SP) U

CARSON ISLAND DENTAL 301 W CARSON ST (310) 787-7053 F/T 1 (SP, TA)

SAMUEL AU, DDS 5305 LINCOLN AVE (714) 826-9988 F/T 1 (KO, CA, CH, SP)

#016934

U

HESPERIA L MOWERY, DDS INC 14661 MAIN ST (760) 244-5047 F/T 1 (SP)

#004077

#360701 U

DOWNEY SOHEIR AZER, DDS #002755 10800 PARAMOUNT BLVD STE 307 (562) 923-3714 F/T 1 (SP, AR)

HUNTINGTON BEACH GABRIEL CAPDEVILA, DDS #151801 6082 EDINGER AVE STE A (714) 846-2895 F/T 1 (SP)

GROUP DNTL CNTR INC #013023 5480 PHILADELPHIA ST STE D (909) 464-2399 F/T 1 (CH, SP)

DUARTE SALEH KHOLAKI, DDS #366801 1230 HUNTINGTON DR STE 5 (626) 301-4220 F/T 1 (AR, SP)

TRAN DDS APC #042025 15047 GOLDENWEST ST (714) 898-4425 F/T 1 (SP, VI) U

CITY OF INDUSTRY PLAZA DNTL #268501 17515 COLIMA RD STE C (626) 965-0971 F/T 2 (SP, KO) U

ENCINO EASY FAMILY DENTAL #042607 16661 VENTURA BLVD STE 208 (818) 646-0194 F/T 1 (SP, PE)

COMPTON QURESHI COMPTON #2C6401 1315 N BULLIS RD STE 3 (310) 639-5330 F/T 1 (SP)

FIROUZEH BANKI, DDS #3C0301 16633 VENTURA BLVD (818) 990-5900 F/T 1 P/T 1 (AM, PE, SP, FR) U

INDIAN WELLS WOO ALBERT LEE DDS #039545 74900 HIGHWAY 111 STE# 110 (760) 836-0052 F/T 1 (KO, SP) U

SHAILESH PARIKH, DDS #038101 2001 E COMPTON BLVD (310) 639-7970 F/T 1 (SP)

FOUNTAIN VALLEY PAUL JARUSZEWSKI, DDS #260701 18430 BROOKHURST ST STE 104 (714) 963-3005 F/T 1 (SP) U

LA HABRA HARBOR DENTAL 971 N HARBOR BLVD (562) 690-3551 P/T 1 (SP, CH)

CORONA CAJALCO DENTAL #034416 2550 TUSCANY ST STE 101 (951) 280-9073 P/T 1 (SP, VI)

GLENDALE PRODENT CRE DNTL PRAC #030727 213 N ORANGE ST STE F (818) 241-3155 F/T 1 (SP, PE, AM) U

JULIET CHUA, DDS #355701 1441 W WHITTIER BLVD (562) 691-7438 F/T 1 (SP, TA, CH) U

SYCAMORE CREEK DENT #030247 11882 DE PALMA RD STE E 2 (951) 277-7678 F/T 1 (SP)

GLENDORA SAN DIMAS DNTL #023401 2220 E ROUTE 66 STE 107 (626) 857-4702 F/T 1 P/T 1 (SP) U

CHINO BRANDON CHIU, DDS #022108 13768 ROSWELL AVE STE 211 (909) 590-8255 F/T 1 P/T 1

COSTA MESA ADVAN DNTL CARE #012698 1503 S COAST DR STE 201 (714) 540-8547 P/T 2 (SP, CH) U BAY MESA DNTL OFFICE #032770 2023 HARBOR BLVD STE D (949) 646-9000 (SP, VI) CULVER CITY WIRTSCHAFTER, DDS #374401 10811 WASH BLVD STE 302 (310) 839-8033 F/T 1 (SP, FR) U STEVEN SELDON, DDS 10310 CULVER BLVD (310) 204-0700 F/T 1 (SP)

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#012688

HEMET DNTL CLINIC 940 E MORTON PL (951) 652-2796 F/T 1

#381601

GRANADA HILLS FAMILY DENTISTRY #000632 17050 CHATSWORTH ST STE 109 (818) 832-2087 F/T 1 (TA, SP) HACIENDA HEIGHTS RONALD NICHOLS, DDS #324801 1850 S AZUSA AVE STE 108 (626) 912-9394 F/T 1 (SP) U HAWTHORNE SCHNIEROW, DDS #286801 13450 HAWTHORNE BLVD (310) 679-0106 F/T 4 (AR, CH, CS, IT, SP, FR, GE, PE) U

IMPERIAL BEACH LUIS CONTRERAS, DDS #016581 1340 IMPRL BCH BLVD STE 101 (619) 575-6644 F/T 1 (SP)

#1C2401 U

LA MESA SMILEHAVEN DNTL CNTR #358801 4700 SPRING ST STE 210 (619) 464-2801 P/T 1 (CH, TA, SP, CA) LOMA LINDA BRUCE TABER, DDS #148301 25835 BARTON RD STE 104 (909) 796-2299 F/T 2 (SP) U LONG BEACH ARCELI P DIAZ DDS INC #042351 823 PACIFIC AVE (562) 432-1532 F/T 1 (TA, SP) U LOS ANGELES ANTHONY MILANEZ, DDS #013787 5757 WILSHIRE BLVD STE 350 (323) 931-9019 F/T 1 U

ARTURO IBARRA, DDS #003990 HEMET 3604 E 1ST ST HEMET DNTL CARE #019898 (323) 260-7173 1300 E FLORIDA AVE F/T 1 (SP) (951) 765-5544 P/T 1 (SP) U U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

ARTURO IBARRA, DDS 2407 N BROADWAY (323) 221-3165 F/T 1 (SP)

#003991

CHINATOWN SER CNTR #018954 767 N HILL ST STE 200 (213) 808-1790 F/T 1 (CH, CA, VI, SP) CULVER CTY MAR VSTA DENT #012166 11607 W WASHINGTON BLVD (310) 398-6161 P/T 1 (SP, PE, HE) TAY FAM DENT #000634 4607 HUNTINGTON DR N (323) 227-9885 F/T 1 (SP, CH) U YOON DNTL CORP #024822 3460 WILSHIRE BLVD STE 104 (213) 383-3460 P/T 1 (SP, KO) YIWEN LIU, DDS 11103 VENICE BLVD (310) 559-9191 F/T 1 (SP, CH)

#024657

MARINA DEL REY WILLIAM GINZBURG, DDS #111501 13155 MINDANAO WAY (310) 821-2611 F/T 1 (TA, RU, VI, SP) U MISSION VIEJO MONTGOMERY & KIRIAK DDS #3C0601 26800 CROWN VALLEY PKWY 405 (949) 347-0807 F/T 1 P/T 1 (SP, GE) MONTEBELLO DNTL CRE MONTEBELLO #035763 1332 W WHITTIER BLVD (323) 888-0999 F/T 1 P/T 1 MORENO VALLEY FAMILY DENTISTRY #031003 23962 ALESSANDRO BLVD STE R (951) 697-8888 F/T 1 (SP) U MURRIETA MARGARITA TWN SMILES #038075 39540MURRIETA HOT SPR RD#231 (951) 696-8200 F/T 1 U NEWPORT BEACH JOSEPH DI CAPRIO, DDS #327801 20072 SW BIRCH ST STE 150 (949) 752-2012 F/T 1 (SP) NIPOMO NIPOMO DNTL ARTS #035492 255 N. WILSON AVENUE SUITE D (805) 929-3219 F/T 1 (SP)

NORTH HOLLYWOOD ALAN BRODY, DDS #209401 12520 MAGNOLIA BLVD STE 202 (818) 762-2682 F/T 1 (SP, HI, RU, GR) U NORTHRIDGE ALL FAMILY DNTL CARE #3C7201 8864 CORBIN AVE (818) 709-9988 F/T 1 (SP) RAFFI NAJARIAN, DDS 17022 DEVONSHIRE ST (818) 363-7469 P/T 1 (SP, AM)

#008628

NORWALK RALPH NICASSIO, DDS #283601 11936 IMPERIAL HWY STE C (562) 868-7768 F/T 1 P/T 1 (SP) U OXNARD IRAJ MOVAHHEDI, DDS #019926 4225 SAVIERS RD STE 9 (805) 982-8283 F/T 1 (SP) PALMDALE Y SIANI, DMD #375601 2270 E PALMDALE BLVD STE E (661) 947-6782 F/T 1 (SP) U PASO ROBLES DAVID KRILL, DDS #000940 1920 CRESTON RD STE B (805) 239-2146 F/T 1 (SP) U RANCHO CUCAMONGA JIA LEE, DDS #004956 9477 HAVEN AVE (909) 989-5598 P/T 2 (12, SP) U RESEDA ZARRINNEGAR, DDS #023117 19231 VICTORY BLVD STE 357 (818) 344-0177 P/T 2 (PE, SP) RIVERSIDE ANWAR NASSER, DDS #017776 6326 MISSION BLVD STE B (951) 367-1666 F/T 1 (AR, SP) AQUINO UY DDS INC #041381 9867 MAGNOLIA AVE STE E (951) 352-2112 F/T 1 (SP, TA) U INNER BRIGHTNESS DEN #031634 6165 VALLEY SPRINGS PKWY # E (951) 214-6585 F/T 1 (AR, SP) NAT SHAIN, DDS 4151 BROCKTON AVE (951) 788-4500 F/T 1

#153101

SHARMA DDS INC 5515 VAN BUREN BLVD (951) 352-5838 F/T 1 (HI, SP)

#011777

ROWLAND HEIGHTS MICHAEL CHAN, DDS #372101 1725 NOGALES ST STE 107 (626) 913-0222 F/T 1 (12, CA, CH, SP) U STEVEN CHIU, DDS INC #012594 18906 GALE AVE STE B (626) 965-5618 F/T 1 (CH, 12) SAN BERNARDINO DR GILL’S FAM DENT #029297 1584 W BASE LINE ST STE 103 (909) 885-3100 P/T 2 (SP) LUIS VARGAS, DDS 965 S E ST STE N (909) 885-6262 F/T 1 (SP)

#000217

SAN DIEGO SERENITY DNTL SPA #028172 12396 WORLD TRADE DR STE 208 (858) 673-1000 F/T 1 (AR, GE, PE, SP) U SAN FERNANDO SANTO TOMAS DNTL 608 N MACLAY AVE (818) 361-1500 P/T 2 (SP, PE)

#040428 U

SAN GABRIEL ANTHONY CHEING, DDS #021775 5204 ROSEMEAD BLVD (626) 286-2111 F/T 1 (SP, CH, CA, HI, PE, TA, VI) U THOMAS WU, DDS #0C3501 1103 S SAN GABRIEL BLVD # A (626) 286-7000 F/T 1 P/T 1 (CH, AM, CA, PE, HI, TA, SP) U SAN LUIS OBISPO MISSION FAMILY DENTAL #033669 4251 S HIGUERA ST STE 502 (805) 540-5251 F/T 1 (SP) SAN MARCOS MICHAEL NELSON, DDS #268801 365 S RCHO STA FE RD STE 105 (760) 471-9560 F/T 2 (SP) SANTA ANA BRIGHT SMILE DENTAL 642 S HARBOR BLVD (714) 775-0202

#023242 U

SANTA MARIA ION NAUMESCO DDS #042722 1414 S MILLER ST STE N (805) 928-3780 F/T 1 (SP, GE)

U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

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SANTA MONICA ARTISTIC CNTR DENT 1531 6TH ST STE 100 (310) 393-2300 F/T 1 (PE, TA)

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UPLAND PAUL CHANG DNTL INC #013854 600 N MOUNTAIN AVE STE D205 (909) 985-9866 F/T 1 (HI, CH, KO, SP)

WESTMINSTER NEWPORT DENTAL 15458 BEACH BLVD (714) 898-3220 F/T 5 P/T 10 (SP, VI)

YOSI BEHROOZAN, DDS #025871 2221 LINCOLN BLVD STE 200 (310) 399-1100 F/T 2 P/T 1 (SP, PE)

STEVEN CHIU, DDS INC #033435 1183 E FOOTHILL BLVD STE 150 (909) 981-4588 P/T 1 (CH) U

SHERMAN OAKS GUS HUERTA, DDS #391701 4910 VAN NUYS BLVD STE 204 (818) 995-8484 F/T 1 (SP, RO) U

VALENCIA VALENCIA DNTL ARTS #042845 27420 TOURNEY RD STE 230 (661) 799-9989 F/T 1 U

WOODLAND HILLS THOMAS BARTLE, DMD #134301 22554 VENTURA BLVD STE 117 (818) 224-2095 F/T 1 (SP)

SOLANA BEACH ABLANTIS DENTAL #012881 130 S SOLANA HILLS DR (858) 259-8400 F/T 1 (SP) U

VAN NUYS CA SMILES DNTL GRP 14424 VICTORY BLVD (818) 908-9800 F/T 1 (AR, PE, AM, SP)

TOLUCA LAKE HOOSIK NAJARIAN DDS #120301 10724 RIVERSIDE DR (818) 769-1111 F/T 1 (AM, PE)

VICTORVILLE SORIANO DDS & ASSOC #022639 15165 SEVENTH ST STE I (760) 245-7704 F/T 1 (SP, TA)

TUSTIN ELMER YOSHIDA, DDS 137 W 1ST ST STE B2 (714) 730-9900 F/T 1 (SP, JA)

WEST COVINA ROBINS FMLY DNSTRY #383201 1129 S GLENDORA AVE (626) 919-7707 F/T 1 P/T 2 (VI, KO, TA, GE, FR, SP) U

#031850

#017217

#004491 U

#021219 U

TWENTYNINE PALMS 29 PALMS DENTAL #039796 73666 JOSHUA DR (760) 865-0544 F/T 1 (JA, VI)

Visit us at our website: deltadentalins.com/deltacareusa. Additional Dental Offices will be added as required. You may call the DeltaCare USA Customer Service department at 800-422-4234 for updates to the provider list. If any office is closed to further enrollment, Delta Dental reserves the right to assign you another dental office as close to your home as possible.

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U — The wheelchair symbol indicates functional accessibility for individuals with limited mobility. Information regarding Dental office accessibility for patients with mobility impairments is available by calling Customer Service at 800-422-4234.

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17871 Park Plaza Drive, Suite 200 Cerritos, CA 90703 KPIC’s dental program information: 800-933-9312 DeltaCare USA information: 800-422-4234

KA5 #75027 (rev. 9/13)

SA-01-904-05

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