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Participant s Signature Doctor s Signature www. iusd. iupui. edu/dept/CE Office of Continuing Education 719 Indiana Avenue Suite 209 Payment EFDA - 1350 Fall 2013. Program Location Indiana University School of Dentistry IUPUI Campus 1121 West Michigan Street Indianapolis IN 46202-5186 Room S315 3rd floor laboratory PO Box 6212 Refund Policy No refunds will be issued for cancellations or no-shows after August 16th. The remaining 905. 00 will be credited towards a future Expanded Functions EFDA...
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Submit the completed form to the relevant dental authority for review and processing.

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Dental auxiliaries provide support to dentists during patient care and treatment procedures.
Dental auxiliaries are required to file for certification or licensure in order to practice legally.
To fill out for dental auxiliaries, individuals must submit the necessary forms and documentation to the appropriate licensing board or agency.
The purpose of for dental auxiliaries is to ensure that dental auxiliaries meet the requirements and standards set forth by regulatory bodies.
Information such as education and training, work experience, and continuing education credits may need to be reported on for dental auxiliaries.
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