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pdf Connecticut Application 

National Donated Dental Services (DDS) 

Coordinator information:

Pam Pairan

1800 15th St. Suite 100

Denver, CO 80202

888-623-2780

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

2007/2008

  • $49,480 in donated dental services,
  • 13 patients treated
  • 40 volunteer dentists; and
  • 7 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