"What's New in Dental Pharmacotherapy"

Lunch and breaks are included in the cost of tuition. No refunds will be issued after the course date.

Total CE credit hours are 7

MDA Member Dentist $190
With 2004 CE Sticker $165
ADA Member/other than MT $250
MDA Retired Volunteer Dentist $15
Non-Member Dentist $340
Hygienist/Staff Attending With Dentist $70
Hygienist/Staff Attending Without Dentist $80
Total ______
Attendee’s Information
Name ____________________
Address ____________________
Phone ____________________
Additional Staff ____________________
 Great Falls        Missoula

Method of Payment

 MasterCard     Visa

Credit Card # ____________________
Signature ____________________
Expiration Date ____________________

The Montana Dental Association is an ADA CERP recognized provider. AGD accepts MDA courses for Fellowship and Mastership credit.

Mail Payment and Registration to:
MDA, PO Box 1154,
Helena M 59624
Or Call 800/257-4988
Or Fax 406/443-1546
With Credit Card

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