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pdf Idaho Application 

National Donated Dental Services (DDS) 

Coordinator information:
Pam Pairan

1800 15th St. Suite 100

Denver, CO 80202

888-623-2780

303-534-5290 Fax

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Sponsors/Funders: CIGNA, The Daniels Fund, Delta Dental, GlaxoSmithKline, Great West Life and Annuity Insurance Company, Patterson Foundation, and Retirement Research Foundation and United Concordia

2007/2008
·    $45,308 in donated dental services,
·    15 patients treated,
·    20 volunteer dentists; and
·    13 volunteer dental labs

Click to open a Donated Dental Services Application on your desktop or browser using Acrobat Reader. Print this form and mail it today to apply for assistance.

Click here if you need to download the PDF reader from Adobe

 

 

 

 

 

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