Wyoming Dental Association and Safety Certification
Take Quiz button will be enabled once the timer is over or at the end of presentation
Take the Quiz
Dental Assistant’s Radiology Course Access (choose one)
Wyoming/ADA Members Free Access
Access and Payment for Non-Members
Dental Assistant’s Radiology Course
ADA Number
ADA Member
Participant’s First Name
*
Participant’s Last Name
*
*
The name entered here, will be the name printed on the certificate
Dental Assistant’s Radiology Course Payment Information
Participant’s First Name
*
Participant’s Last Name
*
Name as it appears on Credit Card
*
Email
*
Billing Address
*
City
*
State
*
Country
*
ZIP
*
Credit Card Number
*
Expiration Date
*
Card Code
*
Amount
$
