Dr. Sdfgsfd Sdfgfsd
ID #141
🏥 Practice Information
Practice Name:
Kjh
Doctor Name:
Dr. Sdfgsfd Sdfgfsd
Phone:
522-252-2333
Email:
dent2@matchmydentist.com
Address:
Kjh 33987
Zipcode:
33987
Joined Platform:
06/13/2025
📊 Performance Metrics
Total Matches:
0 patients
Completed Appts:
0
Patient No-Shows:
0
Patients Refused:
0
Cancelled by Pt:
0
Total Earnings:
$0.00 (0 × $399)
Account Status:
❌ Inactive
📋 Detailed Information
Recent Patient Matches
Original Questionnaire Responses
Q: Office Email
A: kjhgk@erfgw.com

Q: Practice Name
A: kjh

Q: Address
A: kjh

Q: City
A: jkhkj

Q: State
A: kljhk

Q: Zip Code
A: 33987

Q: Office Phone
A: dfwgewg

Q: First Name
A: sdfgsfd

Q: Last Name
A: sdfgfsd

Q: Degree
A: DDS

Q: Area of Practice
A: General Dentist

Q: Experience
A: 5-10 years

Q: Languages Spoken
A: Spanish

Q: How many new patients are you looking for monthly?
A: 6-15 new patients

Q: Ready to Start Receiving Matches?
A: Yes, I want to start as soon as my profile is approved

Q: URL
A: https://wqerfqer.com

Q: Has your license to practice in this state or any other state been denied, restricted, limited, suspended or revoked; have you ever been reprimanded by a state licensing agency; or are any of these actions pending with respect to your license?
A: No

Q: Has your DEA Registration ever been restricted, limited, suspended or revoked, or are any of these actions pending with respect to your DEA Registration?
A: Yes

Q: Have you ever voluntarily relinquished hospital privileges, DEA Registration, academic appointments or any other professional status while an investigation was conducted?
A: No

Q: Have any professional claim settlements, not involving litigation or arbitration, been paid by you or paid on your behalf?
A: No

Q: Malpractice Document
A: View Document

Q: Only the doctor may complete and certify this form. Are you the doctor personally completing this form?
A: Yes

Q: By clicking "I accept" below, you agree to the above certification terms and conditions and consent to electronic signature
A: Yes

Payment History
Doctor Timeline
Date Joined:
06/13/2025
Complaints/Notes
📝 Admin Notes