Registration form - Camarlengo Dental Institute

LIVE Patient IDR SURGERY 5-Day Course

Immediate Dentoalveolar Restoration (IDR)

by Dr. José Carlos Martins da Rosa

Attendee Details

What is your Clinical Specialty? *

How many implants have you placed? *

PREREQUISITE* previously attended the IDR course/workshop Level 1 *

How Did You Hear About This Event? *

Policy Agreement *

We are committed to protecting your privacy at Camarlengo Dental Institute. We will not collect any personal information from you that you do not volunteer, and we are the sole owner of all information collected on this site. We do not sell, share, or rent this information to others in any way that we have not mentioned in this statement.

By submitting your Registration you accept our Terms & Privacy Policy.

BY FILLING OUT THIS REGISTRATION FORM, YOU ARE NOT ENROLLED IN THIS COURSE. NOR WILL PAYMENT BE RECEIVED UNTIL FIRST YOUR REGISTRATION REQUEST IS REVIEWED AND AN ACADEMIC INTERVIEW IS SCHEDULED WITH OUR DIRECTOR TO GO OVER YOUR SURGICAL SKILLSET LEVEL AND COURSE CRITERIA.

Thank you for your message. It has been sent.

There was an error trying to send your message. Please try again later.

Attendee Details

Title

Contact Information

Clinical Training Center (USA)

Quick Links

Locations