Seminar Registration

Seminar Information 

Venue: Courtyard Marriott
2100 Empire Ave.
Burbank, CA 91504

Hotel Directions

June 10, 2012 - Orthodontics
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September 16, 2012 - Periodontics
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Payment via Mail/Check 

Print the email that is sent to you after completing the form to the right and mail it with payment to:

Elmer Bangloy, DMD
4128 Verdugo Rd.
Los Angeles, CA 90065
Phone: (323) 256-1225

Exhibitor Application

Do you or your organization provide a product or service that benefits Dental Professionals in California? Why not request a booth during our upcoming seminars and events. Download the Exhibitor Application and submit it at least 2 weeks prior to the seminar/event you wish to attend.

Online Registration

To register online, fill out the below form. To quality for pre-registration price, registration must be mailed or made online 7 days prior to the event.