We would like to invite you to our back to school open house

Tuesday, August 28th, 2018 from 3:30-6:00

Please join us outside our office for a fun afternoon including a BBQ, balloons, treats and prizes!
We are accepting new patients, so make sure to tell all of your friends and neighbors. We would love to meet them at our open house!
We appreciate your business and we hope to see you there!

HHS Notifications and Statements


English
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Español (Spanish)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



(Chinese)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Tiếng Việt (Vietnamese)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



(Korean)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Tagalog (Tagalog – Filipino)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Русский (Russian)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



العربية(Arabic)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Kreyòl Ayisyen (French Creole)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Français (French)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Polski (Polish)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Português (Portuguese)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Italiano (Italian)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Deutsch (German)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



(Japanese)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



فارسی (Farsi)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



हिंदी (Hindi)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Հայերեն (Armenian)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



ગુજરાતી (Gujarati)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Hmoob (Hmong)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



اُردُو (Urdu)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



ខ្មែរ (Cambodian)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



ਪੰਜਾਬੀ (Punjabi)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



বাংলা (Bengali)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



אידיש(Yiddish)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



አማርኛ (Amharic)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



ภาษาไทย (Thai)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Oroomiffa (Oromo)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Ilokano (Ilocano)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



ພາສາລາວ (Lao)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Shqip (Albanian)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Srpsko-hrvatski (Serbo-Croatian)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



укРаїнська (Ukrainian)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



नेपाली (Nepali)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Nederlands (Dutch)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



unD (Karen)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Gagana fa'a Sāmoa (Samoan)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Kajin Ṃajōḷ (Marshallese)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Română (Romanian)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Foosun Chuuk (Trukese)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Tonga (Tongan)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Bisaya (Bisayan) .
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Ikirundi (Bantu – Kirundi)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Kiswahili (Swahili)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Bahasa Indonesia (Indonesian)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Türkçe (Turkish)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



کوردی (Kurdish)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



తెలుగు (Teluga)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Thuɔŋjaŋ (Nilotic – Dinka)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Norsk (Norwegian)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Català (Catalan)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



λληνικά (Greek)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Igbo asusu (Ibo)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



èdè Yorùbá (Yoruba)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Lokaiahn Pohnpei (Pohnpeian)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Deitsch (Pennsylvania Dutch)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



hoʻokomo ʻōlelo (Hawaiian)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Adamawa (Fulfulde)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



tsalagi gawonihisdi (Cherokee)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



I linguahén Chamoru (Chamorro)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



ܣܘܼܪܸܬ݂ (Assyrian)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Burmese written in Burmese characters. (Burmese)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Diné Bizaad (Navajo)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



(Bassa)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html



Chahta (Choctaw)
» Notice of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html

» Statement of Nondiscrimination

[Name of covered entity] Pediatric Dentistry, LLC
[Mailing address]
[Telephone number] MODA: 800-342-0526

Capital: 800-525-6800
[TTY number—if covered entity has one]
[FAX]
[Email]
[Name of civil rights coordinator] MODA

Capital
[Name and Title of Civil Rights Coordinator]
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf http://www.hhs.gov/ocr/office/file/index.html









Location:
2811 NE Wasco St.
Portland, Oregon 97232


Call for an Appointment:
(503) 284-5678



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