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PEDIATRIC DENTIST

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Have you completed a pediatrics specialty residency?*

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Do you currently, or have you ever had ownership in a private practice? If so, please explain.*

How did you hear about Risas Kids Dental? (Please list any doctors you may know)*

From 1-10, what level of interest do you have in helping develop a new pediatric practice and why?*

From 1-10, what level of interest do you have in helping mentor general dentists to treat children in your practice and why?*

When would you be available to begin with Risas if offered a position?*

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