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First name*

Last name*

Email*

Phone

Birthday*

Month

Day

Year

12 weeks dental assisting program tuition:$4500 Pay in full discount $4000

Payment Plan

Pay in Full

Payment Plan

Workforce Funding

Employer Sponsored

Other

Preffered Method of contacts

Phone

Text Message

Select your areas of interest

Dental Radiography (X-Ray) Certification Course – $695 Training required to legally take dental radiographs (x-rays) in North Carolina.

Coronal Polishing Certification Course – $325 Training in removal of plaque and stain from teeth using coronal polishing techniques under dentist supervision.

BLS CPR Certification Course – $95 Basic Life Support certification for healthcare providers.

Highest Level of Education Completed:

High School Diploma

GED

Currently in High School

Some College

College Degree

Have you previously worked in a dental office before?

Yes

How did you hear about us?

I certify that the information provided is true and correct to the best of my knowledge. I understand that completion of certification courses allows dental assistants to perform expanded functions as permitted under North Carolina regulations and dentist supervision.

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@CardinalacademyDA.org

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