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Utah Application

 National Donated Dental Services (DDS)

Coordinator information:
Pam Pairan

Donated Dental Services 

888-623-2780

303-534-5290 Fax

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

2008/2009
·    $7,950 in donated dental services,
·    6 patients treated,
·    18 volunteer dentists; and
·    12 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.