№ files_lp_3_process_9_72150
This application form is for dental professionals seeking temporary licensure by reciprocity in Massachusetts, requiring personal and professional details to be provided for temporary registration.
Year: 2020
Region / City: Massachusetts
Topic: Health Professions, Dentistry
Document Type: Application Form
Organization / Institution: Commonwealth of Massachusetts, Executive Office of Health and Human Services, Department of Public Health
Author: Bureau of Health Professions Licensure, Board of Registration in Dentistry
Target Audience: Dental professionals seeking temporary licensure in Massachusetts
Period of Validity: Until the Public Health Emergency is no longer in effect
Approval Date: 2020-04-03
Amendment Date: None
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

Don’t have cryptocurrency yet?

You can still complete your purchase in a few minutes:
  1. Buy Crypto in a trusted app (Coinbase, Kraken, Cash App or any similar service).
  2. In the app, tap Send.
  3. Select network, paste our wallet address.
  4. Send the exact amount shown above.
After sending, paste your TXID (transaction ID) and your email to receive the download link. Need help? Contact support and we’ll guide you step by step.