Lawrence County Dental Society RSVP and Roster of Attendance
Academy of General Dentistry

Academy of General Dentistry Official RSVP and Roster Form
www.agd.org
Questions?  Call 888-243-3368, extension 5300
Email- membership@agd.org
Fax- 312-335-3443
Continuing Education Course Roster

Provider Name:  Lawrence County Dental  Society
Provider ID Number:  219125
Contact Person Name:  Dr. David C. Spokane
Contact Person Email:  d.spokane@comcast.net
Provider Address:  2754 Darlington Road, Beaver Falls, PA  15010



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Lawrence County Dental Society

Dr. Sara Ruby
"Behavior Management of Children in the Post Covid and LGBT Era"


DATE: Tuesday, December 6, 2022
TIME: 6:00pm – 7:00 pm, cocktails/ networking, 7:00 – sponsors, speakers, and meeting
SPONSOR: Kettenbach Dental
CE CREDITS: 2 AGD PACE PROVIDER CREDIT HOURS,        AGD Subject Code: 433
PLACE: Crane Room, New Castle
FEES:
PDA, PDHA, or AGD Members, $0 as a courtesy of membership
Non-members, $45
Lecture only, $25
Make checks payable to: "Lawrence County Dental Society"

INTENDED AUDIENCES: General Dentists, Dental Specialists, Dental Hygienists, Dental Assistants

AGD Verification Code:  5691

Last Name *
First Name *
Are you an AGD Member? *
Member AGD #
Office State (ex. PA) *
Office Phone Number (123-123-1234) THIS FORMAT ONLY- USE DASHES
City *
A copy of your responses will be emailed to the address you provided.
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