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  • authorize Dental Assisting Institute to charge my Credit Card in the

  • I understand that this payment is non-refundable and non-cancellable.

  • Max. file size: 300 MB.
  • Both sides of Credit Card and both sides of ID Document must be submitted to Dental Assisting Institute


    209-527-0101
    605 Standiford Avenue, Suite H
    Modesto, CA 95350
    Info@dentalassistinginstitute.com
    DentalAssistingInstitute.com

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