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Print Form STATE OF TENNESSEE DEPARTMENT OF HEALTH DIVISION OF HEALTH LICENSURE AND REGULATION OFFICE OF HEALTH RELATED BOARDS 665 MAINSTREAM DRIVE NASHVILLE, TENNESSEE 37243 TENNESSEE BOARD OF DENTISTRY
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This form is a document used for deleting a dentist application from the records.
Any individual or organization that needs to remove a dentist application must file this form.
The form must be completed with the necessary information regarding the dentist application that needs to be deleted.
The purpose of this form is to officially remove a dentist application from the records.
The form requires details about the dentist application being deleted, such as application number, reason for deletion, and contact information.
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