Dr. Edward P. Allen

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Course 1: Soft Tissue Grafting for Teeth and Implants
Dallas, TX:		September 24-25, 2010
		October 22-23, 2010
		December 3-4, 2010

Course 2: Hard and Soft Tissue Ridge Augmentation, Vestibuloplasty and Crown Lengthening
Dallas, TX:		November 12-13, 2010

You may print this form and mail it to us, fax it or click submit.
A representative from our office will contact you for a MasterCard or Visa credit card
number to complete your course registration fee.

If paying by check make it payable, and mail to:

Center for Advanced Dental Education
Attention: Dr. Edward P. Allen
8335 Walnut Hill Lane
Suite 210
Dallas, TX 75231

If you are faxing the form:

Center for Advanced Dental Education

Fax: 214.691.8174

Registration
Clinician:	$3,995.00
Assistants:	$695.00

Deposit
Note: Each course requires a $1,000 deposit to hold your reserved date.
CE Credit
Each attendee will be Accredited 16 CE Credit hours.