This is an agreement between Dr. Natasha M. Lee, DMD, LLC and the Patient/Debtor named on this form.October 9th, 2014
FiledOctober 9th, 2014In this agreement the words “you, “your,” and “yours” mean the Patient. The word “account” means the account that has been established in your name to which charges are made and payments credited. The words “we,” “us,” and “our” refer to Dr. Natasha M. Lee, DMD, LLC.