First Name
Last Name
Job Title Principal Dentist and Owner Principal Dentist Dentist Practice Owner Practice Manager Practice Coordinator Receptionist I am not from a dental surgery
Practice Name
Email
Phone
Current Software EXACT OASIS Dentrix Ascend D4W Praktika Practice Works Alumni Ultimo Core Practice Open Dental Zeno Paper New site / Opening a new surgery Other
State / Territory VIC NSW QLD ACT SA WA NT TAS New Zealand Other
Country
What event will you be attending? Tony Rotondo Event: Townsville (20-21 Aug 2021) ADOHTA Event: Perth (2-4 Sep 2021) Digital Dentistry Event: Sydney (10-11 Sep 2021) NZDA Event: Rotorua (17-19 Sep 2021)
I'm interested in (tick all that apply) Dentrix Ascend EXACT OASIS Customer Success Program Automated Recalls and Reminders Campaign Plus Clinipad ExaminePro MyPractice Cloud Online Booking Patient Experience Barcode Instrument Tracking
Additional comments
Comments
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