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  3. Statement Of Citizenship Form

Statement of Citizenship Form

Online submission of the required statement of citizenship or alien status for all licenses.

Document Type
Standard
Resource Link
https://powerforms.docusign.net/2c83671b-524b-4d81-99cf-c80a781d8812?env=na4&ac…
test

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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