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First name

Last name

Email

Phone

Which of the following are you?

Dental Hygiene Student

Dental Student

Dental Hygienist

Dentist

Interested Date and Time:

Month

Day

Year

Time

HoursMinutes

If you are a student what school are you attending?

Important: Currently enrolled NYU dental hygiene students are not eligible to participate because the program instructor is an NYU DH faculty member, which creates a conflict of interest.

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Choose Your Session:

Focused Session 60 minutes$125

Core Coaching 90 Minutes$175

Skills Intensive 2-Hours$225

3-Session Progress Package Save $30$495

5- Session Mastery Package Save $80$795

2 Students 90 Minutes each pay $110.00$110

3-4 Students 2-hours each pay $95.00$95

Skills evaluation + plan 2 hours, individual$245