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DENTIST AND DENTAL HYGIENIST RENEWAL APPLICATION FORMS

Forms to be used only for renewal and restoration of license

For Dentist (WITHOUT A SPECIALTY PRIVILEGE) Renewal Application Form
For Dentist with (GENERAL ANESTHESIA or INTRAVENOUS-CONSCIOUS SEDATION, SPECIALTY PRIVILEGE ONLY) Renewal Application Form
Dental Hygienist Renewal Application Form
Community Service Dentist Renewal Application Form

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Dentist and Dental Hygienist Spotlight: Home Dentist and Dental Hygienist; Dentist and Dental Hygienist Important Announcements; Application Forms & Publications; Application Deadline & Examination Dates; Statute/Rule Chapter; Board Meeting Schedule; Dentist and Dental Hygienist related websites; Board Meeting Minutes

PVL Spotlight: PVL FAQ's; Number of Current Licenses PVL Geo Reports (FY 2004 - FY 2013); On-Line Services; Other Related Websites; Office of Administrative Hearings Decisions

Director »

Licensing Administrator

Celia Suzuki

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