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Address Change Form Anesthesia & Sedation Permits

Read more about Address Change Form Anesthesia & Sedation Permits

Lists and Labels

Read more about Lists and Labels

Online Order Form for mailing lists and mailing labels

Adverse Occurrence Report

Read more about Adverse Occurrence Report

Form used to report any death or incident causing a patient temporary or permanent physical or mental injury occurring in a dental outpatient facility.

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Contact

Arizona State Board of Dental Examiners

1740 W Adams Suite 2470

Phoenix, AZ 85007

Phone: (602) 242-1492
Fax: (602) 242-1445

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