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Dental Board : Temporary_Permit

Temporary Volunteer Dental and Dental Hygiene Licenses
and Temporary Dental Clinic Permits

 
Dentists and Dental Hygienists 
Application - Dentist - Temporary Volunteer Download
Application - Dental Hygienists - Temporary Volunteer Download
Temporary Dental Clinics 
Application - Bona Fide Charitable Organization - Temporary Dental Clinic Permit

Download
   
 
Updated 10/31/2012
 

Table of Contents

Board Members

  • President -  Maurice Sebastian Miles, D.D.S.
  • Vice President - Ronald F. Moser, D.D.S.
  • Secretary Treasurer - Jane Casper, R.D.H., M.A.
  • Executive Director - Laurie Sheffield-James