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DIR On-Boarding Form

The Dental Implant Registry (DIR) offers a FREE On-Boarding service to get your practice up and running and ready to start using the DIR ASAP. 

Please fill in the below details so we can have your practice setup in our system prior to our training session with you & and your team!

DIR Account Owner Details

Please fill in the details of the main account holder

Birthday
Day
Month
Year
Are You a Dental Professional?
Yes
No
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