biological dentistry application

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IAOMT International Academy of Oral Medicine & Toxiclogy

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Doctors interested in biological dentistry and its impact on general health derive great benefit, and feel right at home as members of the IAOMT. Membership is open to dentists, medical doctors, and research professionals. Doctors with other degrees such as chiropractors and naturopaths are welcome, with certain additional conditions.

Please contact our office for more details.

NAME AND SPECIALTY

*First Name:
*Last Name:
Specialty:	DDSDMDMDDO PhDDCND Other:

*Membership Type:	Dental or Medical Student ($15/yr) Standard ($495/1st yr. Includes $100 application fee.)
	All members are on July renewal dates. The price of membership is subject to being prorated.
Include me in Public Membership Listing:

PRIMARY MAILING ADDRESS

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Address 2:
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*Country:

OTHER CONTACT INFORMATION

*Work Phone:
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Email:
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You will be contacted by Dr Paul Gilbert or Dr Mark Berkowitz to Welcome you to the Academy PLEDGE: As I am earnestly interested in the Objective of the International Academy of Oral Medicine and Toxicology, I wish to contribute to the fulfillment of these goals, in so far as possible, by my support of the programs and projects of the Academy. If accepted to the membership, I agree to govern myself and be governed by the Bylaws of this Academy, and to conduct myself in a professional manner.

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