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picture1_Dental Assistant Id 28310 | 642004


picture2_Dental Assistant Id 28310 | 642004 picture3_Dental Assistant Id 28310 | 642004

 200x       Filetype PDF       File size 0.32 MB       Source: doh.wa.gov


File: Dental Assistant Id 28310 | 642004
Dental Assistant Registration Application Packet Contents: 1. 642-004 ...Contents List/SSN Information/ Mailing Information ....1 page 2. 642-005 ...Application Instructions Checklist 3 pages 3. 642-006 ...Dental Assistant Registration Application ...4 pages ...

icon picture PDF Filetype PDF | Posted on 04 Aug 2022 | 2 years ago
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...Dental assistant registration application packet contents list ssn information mailing page instructions checklist pages out of state credential verification rcw wac and online website links important social security number if you have a the law requires to disclose it on your for professional or occupational license u s c will be used under child support enforcement program locate individuals purposes establishing paternity modifying enforcing obligations are not required obtain apply from department health do still eligible meet requirements please see declaration no form call customer service center at questions in order process request mail with initial documentation check send other documents sent money payable quality assurance commission p o box credentialing olympia wa contact us this document another format deaf hard hearing customers washington relay email civil rights doh gov september intentionally left blank background authorizes fingerprint based checks licensing may thro...
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