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Seating is limited and pre-registration is required. Visit www.RoadmapToImplantSuccess.com.
Henry Schein Dental 1822 Aston Avenue, Carlsbad, CA 92008 1-877-537-8862 www.RoadmapToImplantSuccess.com
DATE J February 28 - March 1 J March 7 - 8 J March 7 - 8 J March 7 - 8 J March 14 - 15 J March 28 - 29 J March 28 - 29 J April 4 - 5 J April 4 - 5 J April 4 - 5 J April 11 - 12 J April 11 - 12 J April 11 - 12 J April 25 - 26 J May 2 - 3 J May 9 - 10 J May 16 - 17 J May 16 - 17
LOCATION Charleston, SC Chatsworth, CA Kansas City, KS Richmond, VA Miami, FL Elmhurst, IL Granite Bay, CA Houston, TX Mira Mesa, CA Philadelphia, PA Cleveland, OH Hartford, CT San Antonio, TX Roswell, GA Indianapolis, IN Woodbury, NY Dublin, CA Seattle, WA
EDUCATOR Dr. Kevin Doring Dr. James Eggleston Dr. Kevin Doring Dr. Joseph Favia Dr. Joseph Favia Dr. Joseph Favia Dr. James Eggleston Dr. Joseph Favia Dr. Geoffrey Berg Dr. Kevin Doring Dr. Joseph Favia Dr. Kevin Doring Dr. James Eggleston Dr. Kevin Doring Dr. Kevin Doring Dr. Kevin Doring Dr. James Eggleston Dr. Geoffrey Berg
ABOUT OUR EDUCATORS All courses are taught by experienced clinicians who have offered dental implants to their own patients. For educator bios, visit www.RoadmapToImplantSuccess.com. CE CREDITS This course qualifies for 16 hours of continuing education credit. TEACHING METHODS Lecture and hands-on. PREREQUISITE No prior experience with implants is required. COURSE COST Tuition is $649. Staff/Assistants tuition is $99 and does not include participation in hands-on exercises. Light breakfast and lunch are provided. CANCELLATION AND REFUND POLICY Dates and locations are subject to change. Any cancellation by a registrant within 7 days of the course start date is nonrefundable. For full terms and conditions, visit www.RoadmapToImplantSuccess.com. TREATMENT PLANNING SESSION Registrants are encouraged to bring up to 3 cases including patient history, radiographs and models to the course. Details will follow upon registration.
16 CE CREDITS
Seating is limited and pre-registration is required. To register: Visit www.RoadmapToImplantSuccess.com. To register by e-mail or fax, complete the registration form and submit form by e-mail to RoadmapToImplantSuccess@henryschein.com or fax to 1-877-418-2365.
Practice Name: ________________________ _______________________ Attendee Name(s): 1) ______________________________________ Choose One: J DDS/DMD J Dental Assistant/Staff 2) ______________________________________ Choose One: J DDS/DMD J Dental Assistant/Staff 3) ______________________________________ Choose One: J DDS/DMD J Dental Assistant/Staff 4) ______________________________________ Choose One: J DDS/DMD J Dental Assistant/Staff Office Street Address: ____________________ ____________________________________________ City: ________________________________ __________________________ State: ____________ Zip: ____________________ Office Phone: __________________________ Cell Phone: ________________________ Fax: _____________________________ * E-mail: ___________________________________________________________________
* An E-MAIL ADDRESS is REQUIRED in order to process your registration confirmation, provide communication updates regarding this course, and receive CE credit. Your contact information will not be shared.
How did you find out about this course?_______________________________________________________________ Payment Terms A valid credit card or Henry Schein account number is required at the time of registration. J VISA J MASTERCARD J DISCOVER J AMERICAN EXPRESS J CHARGE MY HSD ACCOUNT HSD Account Number: _________________ Credit Card Number: _______________________________________
Expiration Date: _______ I authorize the charge amount of $_______ Signature: _________________________________
You will receive an e-mail confirmation within 48 hours of registration submission. If you do not receive a registration confirmation e-mail, please call 1-877-537-8862. Support for this course is generously provided by Henry Schein Dental.
Henry Schein Dental Specialties Group is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Henry Schein Dental Specialties Group designates this activity for 16 continuing education credits.
ED_II__FL_12-16-13 2013 Henry Schein, Inc. No copying without permission. Not responsible for typographical errors.
Henry Schein Dental 1822 Aston Avenue, Carlsbad, CA 92008 1-877-537-8862 www.RoadmapToImplantSuccess.com