First Name
Title Select Title Dr. Mr. Ms.
Last Name
Email
Specialty Select Specialty General Dentist Oral Surgeon Prosthodontist Periodontist Endodontist Laboratory Technician Denturist Dental Assistant Dental Hygienist Treatment Coordinator/Office Manager Other Altro
Practice Name
Province Select Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other Altro
City/Town
Cell Phone Number
Office Phone Number
Select course date for Botox & Lip Fillers Training Course for Dentists Select course date December 7, 2024 February 15, 2025 March 8, 2025 May 24, 2025 July 12, 2025 September 18, 2025 November 8, 2025
Select course date for 2 Day Oral Surgery Skills for GPs Nessuno selezionato March 22-23, 2025 October 4-5, 2025
Select course date for Incorporating the Immediate Full Arch Solution into Your Practice Nessuno selezionato December 13-14, 2024 May 2-3, 2025 June 20-21, 2025 October 10-11, 2025
Select course date for Implant Retained Overdentures for the GP: The removeable, implant prosthodontic standard of care for over 20 years Nessuno selezionato February 28, 2025
Select course date for Endodontics From A To Z: Practical and Comprehensive 4-day training for GPs Nessuno selezionato March 27-30, 2025 October 23-26, 2025
Select course date for EFFECTIVE PATIENT DENTAL TEAM COMMUNICATION Nessuno selezionato February 14th, 2025 March 21, 2025 May 23rd, 2025 June 6th, 2025 September 12, 2025
Select course date for HANDS-ON TRAINING INTRODUCTION TO IMPLANT PROSTHODONTICS AND INTRA ORAL SCANNING: Surgical & Prosthodontic Components Nessuno selezionato February 14th, 2025 March 21, 2025 May 23rd, 2025 June 6th, 2025 September 12, 2025
Select course date for Conventional and Digital Fixed Prosthodontics a Comprehensive Program for GPs Nessuno selezionato Not Available
Select course date for Category 1 (Core) - Implant Rehabilitation: A Comprehensive Evidence-Based Review Nessuno selezionato Not Available
Select course date for Introduction to Digital Guided Surgery - Full Day Lecture Nessuno selezionato Not Available
Select course date for Introduction to Digital Guided Surgery - Hands On Nessuno selezionato Not Available
Select course date for FROM DENTAL STUDENT TO DENTAL PROFESSIONAL: STRATEGIES TO HELP MANAGE THIS INTIMIDATING TRANSITION Nessuno selezionato March 12, 2025
Select course date for [Bundle Package] Introduction to Digital Guided Surgery - Full Day Lecture + Hands On Nessuno selezionato Not Available
Select course date for Understanding Case Acceptance: Cultivating a Patient-Centric Culture for Long-Term Success Nessuno selezionato February 14th, 2025 March 21, 2025 May 23rd, 2025 June 6th, 2025 September 12, 2025
Select course date for Embracing Immediacy and Simplicity as the NEW Paradigm for Patient Care in Implantology - A Two-Day Program Select course date for Embracing Immediacy and Simplicity as the NEW Paradigm for Patient Care in Implantology - A Two-Day Program February 13-14, 2025 March 20-21, 2025 May 22-23, 2025 June 5-6, 2025 September 11-12, 2025 December 4-5, 2025
Select course date for Porcelain Veneers from A to Z: A Hands-on Program Nessuno selezionato February 5, 2025
Select course date for Fixed Prosthodontics for the General Dentist Nessuno selezionato October 22, 2024
Select course date for Ten Most Important Concepts/Skills in Prosthodontics Nessuno selezionato November 20th, 2024
Year of Graduation
Dental School Attended
Dietary Restrictions Select Dietary Restrictions None Vegetarian Vegan Lactose Free Gluten Free Nut Free Shellfish Allergy No Pork Other Altro
How did you hear about the course? How did you hear about the course? Social media Email Colleague referral Sales Rep Attended a previous course Google Search
Would you like to add any team members? Would you like to add any team members? Yes No
Please confirm the number of team members you would like to add: Please confirm the number of team members you would like to add: 1 2 3
Details of Staff 1
Staff First Name
Staff Last Name
Staff Email Address
Staff Speciality Nessuno selezionato Dental assistant Treatment coordinator Hygienist Office manager Receptionist
Details of Staff 2
Staff First Name
Staff Last Name
Staff Email Address
Staff Speciality Nessuno selezionato Dental assistant Treatment coordinator Hygienist Office manager Receptionist
Details of Team Member 1
Team Member First Name
Team Member Last Name
Team Member Email Address
Team Member Speciality Nessuno selezionato Dental assistant Treatment coordinator Hygienist Office manager Receptionist Lab technician
Details of Team Member 2
Team Member First Name
Team Member Last Name
Team Member Email Address
Team Member Speciality Nessuno selezionato Dental assistant Treatment coordinator Hygienist Office manager Receptionist Lab technician
Details of Team Member 3
Team Member First Name
Team Member Last Name
Team Member Email Address
Team Member Speciality Nessuno selezionato Dental assistant Treatment coordinator Hygienist Office manager Receptionist Lab technician