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ication of state licensure forms • Licensure History: Have you ever applied for a license to practice dentistry in another state(s), territory, or the District of Columbia. If yes, list all areas or states. (Submit copy of current state license(s)) • Mandatory background check required from the Professional Backgroun
lting if the limits are exceeded. The only extension possible is if the Examiner(s) require an unusual amount of time to confer during evaluation. Time Allotment • Surgery 30 minutes • Periodontics 60 minutes • Operative 75 minutes NOTE: Total examination time is 3'% hours: 9:00 A.M. - 12:30 P.M. II
ication of state licensure forms • Licensure History: Have you ever applied for a license to practice dentistry in another state(s), territory, or the District of Columbia. If yes, list all areas or states. (Submit copy of current state license(s)) • Mandatory background check required from the Professional Backgroun
lting if the limits are exceeded. The only extension possible is if the Examiner(s) require an unusual amount of time to confer during evaluation. Time Allotment • Surgery 30 minutes • Periodontics 60 minutes • Operative 75 minutes NOTE: Total examination time is 3'/ hours: 9:00 A.M. - 12:30 P.M. Pag
ication of state licensure forms • Licensure History: Have you ever applied for a license to practice dentistry in another state(s), territory, or the District of Columbia. If yes, list all areas or states. (Submit copy of current state license(s)) • Mandatory background check required from the Professional Backgroun
lting if the limits are exceeded. The only extension possible is if the Examiner(s) require an unusual amount of time to confer during evaluation. Time Allotment • Surgery 30 minutes • Periodontics 60 minutes • Operative 75 minutes NOTE: Total examination time is 3'/ hours: 9:00 A.M. - 12:30 P.M. Pag
ication of state licensure forms • Licensure History: Have you ever applied for a license to practice dentistry in another state(s), territory, or the District of Columbia. If yes, list all areas or states. (Submit copy of current state license(s)) • Mandatory background check required from the Professional Backgroun
lting if the limits are exceeded. The only extension possible is if the Examiner(s) require an unusual amount of time to confer during evaluation. Time Allotment • Surgery • Periodontics • Operative 30 minutes 60 minutes 75 minutes Page 7 of 11 EFTA_R1_02124833 EFTA02711314 NOTE: Total examinatio
Entities connected to both the District of Columbia and Time Allotment

Phoenix
LOCATIONExaminer
ORGANIZATIONthe VI Department of Health
ORGANIZATIONCenter for Disease Control
ORGANIZATIONNational Board
ORGANIZATIONClinical Examination
ORGANIZATIONGovernment of the Virgin Islands
ORGANIZATIONDiploma
ORGANIZATIONthe Dental Board Office
ORGANIZATIONGeneral Information on Application For Clinical Examination
ORGANIZATIONNO NATIONAL BOARD CREDIT
ORGANIZATIONCora Lapuz-Adrovel
PERSONP.O. Address
ORGANIZATIONThe National Board of Dental Examination Part H
ORGANIZATIONthe Computerized National Board Part II
ORGANIZATIONstreet & city
ORGANIZATIONComputerized National Board Part II
ORGANIZATIONRea u irements
PERSONThe Computerized National Board Part II
ORGANIZATION