Event Registration – California Dental Assistants Association

PVDAS / SFVDAS CE Course

Stewart Balikov, DDS

California Dental Practice Act

March 8, 2023 / 7pm – 9pm

Virtual / Live CE Course

Questions? Contact us!

Registration is open until March 6, 2023.

Name(Required)

First Last

Email(Required)

Confirm Email(Required)

License Type (NA if none:(Required)

If license type and number are left blank, no CE will be issued.

License Number (NA if none):(Required)

Cell Phone(Required)

I am:(Required)

an ADAA member

an ADHA member

an ADA member

not a member of these

Member number (NA if none):(Required)

Registration: Deadline to register is March 6, 2023. No refunds.(Required)

Member Rate: $5

Non-Member Rate: $10

Student Rate: $0

If registering as a student, a valid student ID must be provided and a CE verification form will not be issued.

Total

Clicking Submit button will submit registration form and take you to PayPal, but registration will NOT be complete until payment is completed with PayPal. You will receive a confirmation email from PVDAS. If you do not receive an email, check your spam/junk folder and/or contact us. STUDENTS: Click Submit button and your registration is complete.