Arizona Dental Team AzDA Membership Application
Have you been an AzDA Dental Team member before? Save time and
find your existing membership number here
AzDA Dental Team Membership Requirements:
Membership is annual and non-refundable
You are not a dentist. If you are,
click here for your membership application
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Dental Assistant
Dental Hygienist
Office/Business Staff
Lab Tech
School Faculty
Other
We never give or sell your email address; we hate email spam as well!
If needed, how should be contact you?
Email
Phone
Employment
Payment
$60
Which address above is associated with the credit card?
Home
Employer
American Express
Discover
Mastercard
Visa
1 - January
2 - February
3 - March
4 - April
5 - May
6 - June
7 - July
8 - August
9 - September
10 - October
11 - November
12 - December
2023
2024
2025
2026
2027
2028
2029
2030
2031
The 3 digits on the back of Vista/Mastercard or 4 digits on the front of American Express
Submit Application
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