Directory Results for RENEWAL APPLICATION Anesthesia Restricted Permit I DP Return to: State Board of Dentistry PO Box 8417 Harrisburg, PA 171058417 ** NAME ** STREET ADDRESS ** CITY STATE ZIP CODE PERMIT NUMBER Check if appropriate ** ADDRESS CHANGE The address to RENEWAL APPLICATION Anesthesia Unrestricted Permit DA Return to: State Board of Dentistry PO Box 8417 Harrisburg, PA 171058417 ** NAME ** STREET ADDRESS ** CITY STATE ZIP CODE PERMIT NUMBER Check if appropriate ** ADDRESS CHANGE The address