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Contraseña

Como mínimo 8 caracteres, letras mayúsculas y minúsculas y como mínimo 1 caracter especial (por ejemplo @ ! ? € # ...).

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Campos personalizados profesionales

Are you an AGD Member?

Yes

(Clinician) State of Licensure

Are you licensed in MA or VT?

Neither MA nor VT

Profession

Straumann customer number

State License Number

State of Licensure

Straumann customer #

NPI Number

State License #

NPI #

As part of being a speaker or instructor for Straumann Group my email address will be displayed on assigned course registration pages as a means of contact for registrants and participants.

I agree.

Pursuant to VT Prescribed Products Law – Gift Ban: Straumann, as a medical device manufacturer is prohibited from providing meals to clinicians with an active VT dental license.

If I participate in a CE Course which includes a meal and I consume the meal I agree to be invoiced for the cost.

I confirm that I will not partake in any meals provided and I will make my own arrangements for food.

GDC Number

NTF Number

RPPS - France

Ma Profession

BIG-Nummer

First Name

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Se ha enviado un correo electrónico de confirmación a la dirección de correo electrónico de abajo.Para finalizar su registro, haga clic en el enlace del correo electrónico de confirmación.

¡GRACIAS!

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