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Central Carolina Community College Dental Programs
Dental Patient Sign Up
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Central Carolina Community College  Dental Hygiene Program - Add your name to our working/waiting list. Students will reach out to make appointments based on their course needs.  Wait time could be 1 week to 2 months.  Thank you for supporting our students and program.  
First and Last Name *
Date of Birth *
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Contact Phone Number *
Date of last dental cleaning (approximate). Cleaning must have occurred at least 6 months prior before being added to our list.   *
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Can we text you? *
A copy of your responses will be emailed to the address you provided.
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