Dental Practice Owners Sign-Up Form

Name of Owner

Phone Number

Email Address

Name of Practice

Number of Locations

Main Office Physical Address

City

State

Zip Code

Years in Business

Type of Practice

Are You Affiliated with a DSO or MSO?

Yesno

What is The Name?

How Soon Would You Like To Start Your School?

180 days

Formerly Known As

I Want To Be A Student

Your Name

Your Email

Date of Birth

Home Address

Phone

Location of School

What Type of Dental Assistant

How Did You Hear About The School

High School Diploma/GED
YesNo

Facebook page

Hands-On University Career Schools by GMAX are designed to help dentists create passive income for themselves by using their practices after hours. And to educate and train the best dental assistants in the USA and Canada. In our organization and discipline we believe , good is not good enough. We are laser focused on getting Great results. Best:)

(800) 906-0954

info@gmaxseo.com
info@yourdentalassistantschool.com

3260 N. Hayden Rd Suite 210 Scottsdale AZ 85251

13355 Noel Rd. Suite 1100 Dallas, TX 75240

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"To learn more about our written guarantee and refund policies feel free to call us at 1 (800) 906-0954."

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