DentalCEtraining.com Study Club @ San Diego area on September 16th & 17th at 6:30pm
Event Address: Three locations. Escondido, Westpac Wealth Partners Mira Mesa, and Buena Park . See below 
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Email *
Which study club are you registering for? Same topic just different location *
Required
Position *
First & Last Name *
Dental License (state and number). Write "N/A" not applicable. *
AGD # (if applicable). If provided, we will submit your CE to AGD for you. Write "N/A" if not applicable. *
Cell phone # (to connect directly with Dr. Lastimado). Include area code. *
Office Phone #. Include area code. *
Dental Office Name *
Office Address *
A copy of your responses will be emailed to the address you provided.
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