Miles for Smiles 2014 Sponsorship Form
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TimestampSample Question 1Maximum Contribution:Contribution per mile:Sponsoring Company:Contact Name:Address:CIty:Zip Code:Best contact phone number:Email:How or from whom did you hear about us?
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4/3/2011 20:23:36$100$1.00 per mileRoss Fruithandler DDSLinda Fruithandler9398 Viscount, 4-BEl Paso, TX79925915-833-1287Luckylinda@elp.rr.comChad Fruithandler
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4/6/2011 7:38:26$500N/AChristine J. Coke, DDS, MDBond Andrews107 Suncreek Dr, suite 200Allen75013214-383-1380cjcddsmd@yahoo.comMelanie Nguyen
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4/7/2011 10:16:41$100$1Dr. M. Peck D.D.S.Nancy5038 Tennyson Parkway Suite APlano75024972 403-8700michaelpeckdds@hotmail.comStudent - Zeenat Abdulali
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4/13/2011 9:38:45$100$0.5sameLarry D. Herwig, DDS8226 Douglas Ave. #750Dallas75225214/361-1845LDHerwig@sbcglobal.netLeeanna Bartlett/Baylor Dental College
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4/13/2011 9:42:37$1000.5Community Dental CareRachel Sandoval1420 W. Mockingbird Lane, Ste. 500Dallas75247214-630-7080 ext. 100rsandoval@communitydentalcare.orgHeeRa Jang
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4/15/2011 15:31:49$50MaxScott Stein dds7189 westwindEl paso79912915-584-0400Sstein01@elp.rr.comChad Fruithandler
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4/17/2011 23:04:05$100$1Dallas Endodontics, PALori Willis11910 Greenville Avenue Suite 450Dallas75243972-644-1162no emailAllison Pierce
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4/17/2011 23:07:38$40$1Dr. Toni Hamilton, DDSToni Hamilton7100 Rowlett RoadRowlett750899tphrme@verizon.netAllison Pierce
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4/17/2011 23:09:58aaDr. Mark Boren, DDSMark Boren7100 Rowlett RoadRowlett750899no emailAllison Pierce
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4/18/2011 8:34:25$250$1Brunelli Fluellen Family DentistryDebra Sevier701 N Central Expwy #4Richardson75080972-231-8241reception@richardsonsmile.comDebra Church consultant
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4/18/2011 12:56:34$500.1Marian and Gene Sheibley3077 Oak Drive Bucyrus, OH44820419-562-5990sheibleyml@yahoo.comMy Daughter - Monica
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4/18/2011 12:58:21$200.05Kelli Sheibley 5395 Pressnell DriveGalloway, OH43119419-561-0931kns_14@yahoo.comMy sister - Monica
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4/18/2011 13:00:27$200.05John Esskandanian2065 Wedgewood DriveGrapevine76051817-205-6829john.esskandanian@stryker.comMonica Sheibley
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4/18/2011 21:04:28500.5Stephen Dao, DDS4122 Travis st #13Dallas752048172478107Stephendao@gmail.comChris Tran
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4/18/2011 21:13:39$250$0.5Crown DentalTu Nguyen2729 S Lancaster Rd.Dallas75216(214) 371-3131thuy817@yahoo.comEllen Nguyen
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4/19/2011 10:01:481500.5Leila Nourian17000 preston rddallas752529728182244leilanouriandds@yahoo.comfatemeh nakahie sistani
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4/20/2011 7:46:03$100$1Family DentistBelinda Baker600 Indian Trail Drive Ste 202Harker Heights765482546540260nau7tica@yahoo.comBernadette Baker
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4/20/2011 13:34:43$250$5Christopher L. Barnes, D.D.S., P.A.Christopher L. Barnes, D.D.S., P.A.670 W. Arapaho Road Suite 1Richardson75080(972)783-0990drchrisbarnes@sbcglobal.net Molly Leadbeater
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4/21/2011 7:32:55$500.5Synergy Dental, PLLCKomson Sudhi DDS228 W Campbell RoadRichardson750809726332377smile@synergydentaltx.comstudents stopped by
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4/21/2011 13:55:05250n/aElvebak OrthodonticsBriana Walker6225 Chapel Hill BlvdPlano75093972-931-2700info@texasbraces.comSammy Mahmoud
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4/27/2011 18:42:56$100$1Dr. Jana HarrisonTerri Foxale6940 Coit Road Suite 200Plano75023972-491-2677terri@millenniumddsKatelyn Kent
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2/29/2012 7:00:22$200$0.5Celina Family DentistryDr. Angela Ganjoor2750 S. Preston RD #111Celina 75009972-809-7850dr.g@celinafamilydentistry.comAmelia Tahmasebi, UTD student
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3/15/2012 12:51:345000.5Reza Nazemzadeh2138 Lockhart Dr.Charlotte, NC28203704-564-4851rnazemzadeh@hotmail.comAida Rezaee
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3/15/2012 14:02:5410000.5The Family DentistKelly Black3104 West Hwy 22Corsicana751109038728407kellyblack@nctv.comAida Rezaee
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3/29/2012 7:37:435005Yahya Mansour MS DDS1505 Elm St #1404Dallas752019512010144ymansourdds@gmail.comAida Rezaee
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3/30/2012 8:46:001000.5Ozier OrthodonticsMark S. Ozier6317 Preston Rd; Suite 600Plano75024972-741-6801cherim@ozierortho.comKatie James
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4/3/2012 14:37:13$750naChristine J Coke, DDS, MDChristine107 Suncreek, suite 107Allen75013214-684-9608cjcddsmd@yahoo.comMelanie Nguyen
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4/3/2012 20:22:541500.5Nourian DentalLeyla Nourian17000 Preston rd suit 170Dallas75248972-818-2244leyladds@yahoo.comFatemeh Nakhaie
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4/9/2012 8:21:17$2500Dr. Patricia BlantonDiane4514 Cole Ave., #902Dallas75205214-559-4670pblantondds@att.netStudents brought in information
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4/11/2012 13:25:19500.5CENTEX OMSLavelle Ford, DDS2030 Heights Drive, Suite 3Harker Heights765482546999500fordldds@hot.rr.comDr. Belinda Baker
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4/11/2012 15:05:27100100.00 flat donationHaight Family DentistryFred Haight6319 Preston Rd. STE 500Plano75024972-527-5555fhaight@airmail.netKatie James
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4/13/2012 19:48:33$5000.5Family DentistBelinda Baker600 Indian Trail Drive, Ste 202Harker Heights765482546997757famdentbalbaker@yahoo.com
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4/16/2012 11:06:331000.5Tom M. McDougal DDS IncAnastacia Durone106 North CottonwoodRichardson75080972-231-5376care@mcdougaldds.comAlex Shafiey
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4/17/2012 17:16:541001Renaissance CollectionBonnie1532 Hi Line DrDallas752072146981000record@rencollection.comAlexander Shafiey
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4/18/2012 5:47:461000Jonathan C Clemetson DDS PAJonathan Clemetson1700 Pacific Avenue, Ste 260Dallas752012146510005DrC@personalizedDentistry.comChad Fruithandler
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4/18/2012 6:09:32$2502Andrew J Campbell DDS PCAndrew Campbell2804 SWS Young Dr Ste 100Killeen76542254-526-5667andyjcamp@gmail.comPreDent Student
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4/18/2012 10:33:24$250N/AChristopher Barnes DDSJanet670 W. Arapaho Rd Suite 1Richardson75080N/A (already have check)N/A (already have check)Molly Leadbeater
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4/18/2012 10:50:282502.5Robert L. Porter D.D.S., P.A.Robert L. Porter660 W. Cambpell Rd. Ste 101Richardson750809726990002rohanrana@yahoo.comRohan Rana
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4/18/2012 10:58:10200020Pepperwood PartnersMichael O'Donnell5420 LBJ FWY. Ste 535. Dallas752402144426056mjl@pepperwoodpartners.comRohan Rana
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4/20/2012 13:38:43$50$1Rowlett SmilesDr. Mark Boren7100 Rowlett RoadRowlett75089972-463-1001naAllison Pierce
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4/20/2012 13:41:29$100$1Dallas Endodontics, PADallas Endodontics, PA11910 Greenville AvenueDallas75243972-644-1162naAllison Pierce
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4/20/2012 13:43:09$150$1Whole Health Chiropractic and SpaDr. Teresa Jones, D.C., C.Ad.3930 Naaman School RoadGarland75040972-530-2273naAllison Pierce
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2/26/2013 13:07:40500.5Dr. EgnerBox 729Van AlstyneTX903-482-6339p_egner@yahoo.comDr. Coke
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3/6/2013 9:11:01$500.00 (to Katelyn Kent)Platinum Sponsor $500.00Field EndodonticsJoy Field DDS, MS2845 Parkwood Blvd. #300Plano750939723099400fieldendo@msn.comKatelyn Kent
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3/19/2013 16:21:01$500Healthy Smiles Children's DentistryDr. Mila Davis12398 FM 423, Suite 1900Frisco75034214-436-4774info@healthychildrenssmiles.comJillian Csolak
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3/19/2013 16:35:29$2500Halo Group RealtyChristopher Ohlig825 Market Street, Ste 230Allen75013972-800-7844ohligc@yahoo.comJillian Csolak
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3/20/2013 10:55:441000.5Elvebak OrthodonticsBryan Elvebak6225 Chapel Hill Blvd.Plano75093972-931-2700ashley@texasbraces.com
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3/24/2013 10:35:30$50$0.5Lili & LiliaLili & Lilia1424 Ector DrCarrollton750109727460378marjanehnazanin@yahoo.comAmelia
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3/31/2013 7:24:17300Richard Flores9160 prairie Meadows lane Celina75009214.475.5013Rflores711@gmail.comJillian Csolak
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4/1/2013 16:31:27$1000North Texas Periodontal AssociatesDr. Bradley Dean3900 American Drive suite 101Plano750759729642900dean@ntxpa.com Jillian Csolak
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4/1/2013 16:33:41$500Becci Csolak20004 Sedalia TrailFrisco750349723425591bcsolak@aol.comJillian Csolak
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4/7/2013 15:33:301001Dallas Endodontics, PAAllison Pierce11910 Greenville AveDallas75243214-729-9363abp18@me.comAllison Pierce
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4/7/2013 15:34:51201Elaine Fleury-Assistant at Dallas EndodonticsAllison Pierce11910 Greenville AveDallas75243214-729-9363abp18@me.comAllison Pierce
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4/10/2013 9:33:06$800$1.5Westwood Dental CompanyDawn Davis1454 Campbell Rd.Houston77055713-826-4878dawn5davis@aol.comRebecca Roozbeh- TCU
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4/10/2013 10:16:461000.5SOUTH TEXAS DENTALJAE HOON LEE, DDS315 PARK HAVEN BLVDEULESS760394693634605DEJILEE81@HOTMAIL.COMFROM MIKE LEEM
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4/15/2013 18:06:44500.5Evelyn and Patrick Jackson 6304 Charles TrailMckinney Texas75070972-540-7672emquinonez@hotmail.comGabriela Quinonez
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4/15/2013 21:41:41$100$1Tom M. McDougal, D.D.S., Inc.Anastacia Durone106 North CottonwoodRichardson75080972-231-5376care@mcdougaldds.com
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4/15/2013 21:44:14$100$1Duck Creek DentalDr. Govind Hariharan, D.M.D., M.S.5024 North Jupiter RoadGarland75044(972)-414-6432duckcreekdental@yahoo.com
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4/22/2013 9:51:06$600Tim and Terasa LegatJillian Csolak15767 Plum LaneMcKinney750702143359561legattk@gmail.comJillian Csolak
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4/22/2013 17:43:30$100$100Dr. BorenAllison PierceRowlett RoadRowlett75089214-729-9363abp18@me.comAllison Pierce
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4/18/2014 11:19:12123132123123123123123123
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3/25/2015 12:06:20500.1Kwon DentalHodong Kwon11722 Marsh Lane #364Dallas752292143508608kwonddspa@gmail.cooomDae Tak
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