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We don't teach
But make you
Understand dental implants
9 Days comprehensive Implants training course
Course highlights
1. Detailed audio- visual presentations.
2. Multiple live implant surgeries
3. Limited attendance in course to enable personal attention.
4. Participants will practice to place multiple implants belonging to deferent systems over Dummies.
5. Full clinical support from faculty for your future implant cases.
6. Affordable fee structure.
7. Participants will get the patient to place and restore the implant in patient's mouth.
8. Multiple implant systems will be taught in the course.
9. Participants will get special discounted offers over deferent implant systems.
10. Most preferred venue in north India- you get chance to visit beautiful Taj.
Course details- (What is taught)
1. Different types & designs of implants
2. Different kind of inventories used in implant dentistry
3. Prosthetic options in implant dentistry
4. Patient Evaluation, Diagnosis & treatment planning- With patient's models, opg, CT images etc.
5. Indications & Contra-indications
6. Bone density & availability
7. Surgical guide fabrication
8. Sterilization & asepsis
9. Setting up of the operatory for the surgical phase
10. Anesthesia
11. Step by step Surgical Protocols for implants placement
12. Single stage as well as two stage protocol
13. Management of complications in implant dentistry
14. Marketing implant dentistry for your practice
15. Different types of impression taking procedures for implants prosthetics
17. Prosthetic options for different implant treatments like
18. Fixed ceramic, fixed hybrid dentures, removable implants over dentures etc.
20. All the equipments, materials and implant inventories will be shown and taught to the participants.
21. Participants will practice to place the implants over the dummy models.
22. Live multiple implant surgeries in patient's mouth will be shown to the participants
23. Radiographic template fabrication
24. CT planning of cases with advanced implant planning software
25. Extensive surgical planning with opg and CTs of the patients
26. Surgical stent fabrication over the patient's model
27. Soft tissue management and basic principles of bone grafting
28. Basic principles of maxillary sinus elevation and implants placement
29. Socket preservation (grafting) technique for future implant placement
30. The participants will place the implant in patient's mouth under the guidance of the faculty. (Participants can bring
Their own patients to place the implant and can charge the patient with informed consent).
31. Step by step prosthetic procedures for implant restoration
32. Principles of cement retained implant prosthesis
33. Principles of screw retained implant prosthesis
34. Progressive bone loading
35. Immediate loading protocols for implants
36. Multiple Live prosthetic procedures in patient's mouth will be shown to the participants.
37. Occlusion considerations
38. Aesthetic considerations in implant treatments
39. Participants will practice implant prosthetic procedures over the dummies.
40. Maintenance of dental implants
41. Management of complications in implant dentistry
42. Marketing implant dentistry for your practice
43. Participants will restore the implant in patient’s mouth under the guidance of the faculty
Course mentor-
Dr. Ajay Vikram Singh BDS, PG. Cert. Dental implant, DICOI
Dr. Ajay Vikram Singh after graduating from Luck now (India) completed one year P.G. certificate Program in dental implants from India. He then
received training for advanced bone and soft tissue grafting procedures in implant dentistry from Miami, USA and also learned many other
advanced implant procedures in different continuing education programs in USA. Dr. Ajay is a well known Implantologist, key note speaker and
mentor at the international level. He has trained more than 500 national and international dentists in last few years at his center and during
different workshops over the basic to advanced implant procedures.
Dr. Ajay is an active committee member of different prestigious national and international associations’ like-
Academy of oral implantology (AOI),
Indian academy of osseointegration (IAO),
Indian academy of aesthetic and cosmetic dentistry (IAACD).
Fellow of academy of general education (MAHE)
Fellow and Diplomate of international congress of oral implantologists (ICOI).
He is honorary president of Indian dental association, Agra.
He has presented his implant skills as key note speaker at different national and international platforms and has been awarded for the best
presentation over nerve Trans positioning and implants placements during ICOI conference at Las Vegas, USA.
He has many articles on his name over the advanced implantology published in deferent national and international journals. He treats many
international patients every year at his center with advanced implant and cosmetic dentistry skills.
Recently - Dr. Ajay spoken as key note invited speaker at following international conferences-
- 16th isoi (Indian society of oral implantology) conference, Chandigarh
- 4rth international conference of academy of oral implantology (New Delhi)
- 6th. International congress of Iranian Society of Oral and Maxillofacial Surgeons (Tehran, Iran)
-17th Alexandria international dental congress (AIDC), Alexandria University, Egypt
- Famdent scientific presentations, New Delhi
-18th
isoi (Indian society of oral implantology) conference, Hyderabad
Course venue-
Dental implants training centre
Dr. Ajay Dental Clinic & Research Centre
Ram Raghu hospital campus
Church Road, Agra -282002 (INDIA)
Phones-+91-562-4010263, 09837521956,
Website;-www.dentalimplantclinicindia.com
www. Implanttrainingindia.com
E-mail-drajaydentalclinic@gmail.com
mail@dentalimplantclinicindia.com
Certificate - Each participant is awarded
With well designed certificate of implant
Training after this course
Course director
Dr. Sunita Singh (Dental surgeon& Implantologist)
Dr. Sunita Singh completed her BDS from Lucknow and started her private practice in 2003. She has taken a lot of
continuing education in cosmetic dentistry and fixed orthodontics at different Centers of India and other countries. She
attended many of the national and international dental Conferences to upgrade her knowledge in cosmetic dentistry and
fixed orthodontics. She has taken the special Training in cosmetic dentistry from Washington University (USA). She has been
awarded as the member of American college of prosthodontists in USA for her excellent work in prosthetic and cosmetic
dentistry. She has also been awarded with the best presentation during the ISOI conference at Hyderabad for his skills of
using mini implants in fixed orthodontic treatments. She is the active member of Indian academy of aesthetic and cosmetic
dentistry as well as academy of oral implantology. Dr. Sunita has given the beautiful smile to a lot of national as well as
international patients during her 5 year privet practice.
Course Fee-
RS. 70, 000/- for individual Indian participant's training
RS. 60,000/- per participant for 2-4 Indian participant's training
Course fee for international participant - 2500 US DOLLARS
COURSE FEE excludes all the implant and other materials Participant place and use in patient's mouth
Who can Attend-?
Novice as well as practicing implantologists
Course Dates- Organized every month
What few previous participants say about our implant training courses?
I was really over-conscious when joined Dr. Ajay's implant course coming all the way from Libya and had no knowledge
about the implants. But I am really thankful to dr ajay and dr sunita, as after joining their implant course, now I am placing
implants in my clinic and using multiple systems. Dr Ajay is really a talented guy and good teacher too.
Dr. Ahmed Ameen, Libya Email:
Dr. Ajay's implant training courses are really good, I learned a lot about the dental implants and would recommend every
dentist to join Dr. Ajay to learn the dental implantology.
Dr. Naboya Maria Nigeria Email: a2zdent@yahoo.co.uk
I would like to thank Dr. Ajay and Dr. Sunita for your teaching and your help to make me learn implants. Dr. Ajay is really a
very Good teacher and also a talented person. During my course I was feeling as I am in my clinic and with my family
therefore I learned Implant in a very easy way.
Dr. Bashar A. Salman, Bagdad (Iraq) MAIL- Contact no. +964790611
bashar_asm@yahoo.com
I am very grateful for dr ajay to make me learn all the important things about implantology. From the first day of the course I
feel lucky to be one of the participants. Dr. Ajay and Dr. Sunita both have simple personalities so Participant feels very
comfortable. I got new friends. I travel a long way from my country to India but now I feel it was worth.
Dr. Bassam Rehab, Oman Mail- Contact no. 0096892485861
bassam_rehab@yahoo.com
I am a pedodontist in Kenya and accidently discovered this course via internet. I was really apprehensive at first about the
authenticity of this course. I registered for the 9 days course, booked a flight to India to learn implants from Dr. Ajay but
after my training I am very glad for I made a right decision. Dr. Ajay is a very talented teacher as he simplifies all the
technical jargon to the point any novice will understand. The one on one training that I received ensured that I could ask all
the 'silly' questions and yet get back a brilliant answer. The ambience of his center is very conducive to learning implants you
will practically get to witness all the stages of implantology from the planning stage with CT software up to the delivery
phase. I was allowed to see many implant insertion and prosthetic procedures and also to insert implant in patient's mouth
under his guidance. Now just after 9 days training I feel very confident to use any implant system at my center. I have no
hesitations recommending dr. ajay to any dentist worldwide for the implant training.
Dr. Humphrey M. Muriithi (Nairobi, Kenya) Mail- muriithih@yahoo.com Contact no. - +254 722
288891
I had no knowledge about the implants before I joined their course but after joining this course now I am successfully
placing implants in my own clinic. The best part of this course is very friendly behavior of dr ajay and dr sunita so the
participants feel very comfortable to discuss their queries. Dr ajay remain very supportive for the planning of your own cases
in your clinic after the course so you feel very comfortable in your implant practice if your teacher is above you to help any
implant procedure at last I could find a best implant teacher and suggest every dentists to go and learn implants from Dr.
Ajay.
Dr. Rohit Sharma, himachal Pradesh Email- healintouch@rediffmail.com Contact no 094184744
Excellent implant surgeon and mentor. Being an oral surgeon I expressed my wish to learn only the prosthetic part of the
Implantology as I thought placing the implant is not a big thing for a oral surgeon but after joining this course I came to the
point that the implantology is completely a different science and every oral surgeon should take the training for placing
implants and many associated GTR procedures before start practicing the implantology to minimize the failures. I am very
thankful to Dr. Ajay as his training was really an eye opening experience for me. Now I am successfully placing implants at
my practice and still discuss my cases with Dr. Ajay to minimize the failures. He is very cooperative and generous guy.
Dr. Vinayak Karun, Maxillofacial surgeon, mail- vinayakkarun@yahoo.com, phone- 097526-50505
I had known Dr. Ajay from the time of my dental graduation as he was my two year senior in the dental College. I am really
amazed to see the hard work he has done to reach at this level. He is very brilliant, technically Sound, ultimate mentor, and
very good human being. I am very successfully practicing implantology at my center after his course and he is still continue
helping me for my cases planning and overcome the apprehensions. Many Thanks to Dr. Ajay for all I am doing in implant
practice. I am practicing in a very small city, where Patients were not very used to get the expensive treatments done but I have
established a successful implant Practice because of the guidelines I learned during this training. I recommend all the dentists
to join his training who really Want to successfully practice the implantology.
Dr. Chandan Bhatnagar, General dentist, mail- chandan8125@gmail.com , phone- 09458880111
Dr. Ajay has broken all the apprehensions for placing implants I had, before joining his course. Dr. Ajay is really very talented
and opens the entire door to make you learn the implants. Very cooperative and generous Guy, appreciate all of even our silly
questions and answers them all. I would like to recommend very dentist to go to his center to learn the real clinical
implantology.
Dr. Andrew Murphy, General dentist, Ireland, mail-
I have been practicing dentistry for over 17 years and I developed interest in the Implant practice at the time of my post
Graduation but never had the opportunity to be well trained to start implant practice. During my training at Dr. Ajay’s center
I documented proceedings of each day; there was no single day that we did not carry out implant procedures at one stage to
the other covering all the stages of the implant from treatment planning to the delivery of the prosthesis using different implant
Systems and prosthetic options. I have learnt a lot which is highly important for me to start and establish the implant practice.
What more, I would like to appreciate Dr. Ajay and his wife Dr. Sunita for their kindness and warm reception from day one to
the end. Special appreciation for the last day of my training, which happened to be my birthday which I just mentioned
towards the close of the day and before you know it, in less than 2 hrs, they have already, organized a birthday celebration
where I cut birthday celebration cake as if I was really with my family. Indeed it was home away from home. Thank you and
god bless you.
. Ajayi Joachim O, restorative dentist, Nigeria,
Dr. Ajay taught the dental implants in detail and made it quite easy to learn this advanced technique. He has the best
infrastructure, equipments and audiovisuals to teach dental implants. The best part of this course is that it's not a particular
implant system based course but we learn multiple implant systems during this course so that we can choose any of the system
according to our patients to start the implants practice.
Dr. Neha Bhandari Rao, (Oral and maxillofacial surgeon), Saudi Arabia mail- drnehabhandarirao@gmail.com
Implant training registration form
Implant training center
Dr. Ajay Dental Clinic & research center, Church Road, Agra -282002
Phones- +91-562-4010263, 09837521956, 09997857263
Website: www.dentalimplantclinicindia.com
E-mail: drajaydentalclinic@gmail.com , mail@dentalimplantclinicindia.com
Name: ________________________________________________________
Specialty: __________________________
Email: ________________________________________
Mailing Address: ________________________________________________
City: ___________________________ State: __________
Zip/Country Code ___________________ Phone # :(____) _______________________
College/University: ________________________ Degree: _______________ Year: _______
How did you hear about us?
_________________________________________________________
How do you wish your name to appear on completion certificate?
_____________________________________________________________________________
Learn implants and enjoy world heritage Taj Mahal and other monuments of Agra and Golden triangle

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9 days comprehensive implant course

  • 1. We don't teach But make you Understand dental implants 9 Days comprehensive Implants training course Course highlights 1. Detailed audio- visual presentations. 2. Multiple live implant surgeries 3. Limited attendance in course to enable personal attention. 4. Participants will practice to place multiple implants belonging to deferent systems over Dummies. 5. Full clinical support from faculty for your future implant cases. 6. Affordable fee structure. 7. Participants will get the patient to place and restore the implant in patient's mouth. 8. Multiple implant systems will be taught in the course. 9. Participants will get special discounted offers over deferent implant systems. 10. Most preferred venue in north India- you get chance to visit beautiful Taj. Course details- (What is taught) 1. Different types & designs of implants 2. Different kind of inventories used in implant dentistry 3. Prosthetic options in implant dentistry 4. Patient Evaluation, Diagnosis & treatment planning- With patient's models, opg, CT images etc. 5. Indications & Contra-indications 6. Bone density & availability 7. Surgical guide fabrication 8. Sterilization & asepsis 9. Setting up of the operatory for the surgical phase 10. Anesthesia 11. Step by step Surgical Protocols for implants placement 12. Single stage as well as two stage protocol 13. Management of complications in implant dentistry 14. Marketing implant dentistry for your practice 15. Different types of impression taking procedures for implants prosthetics 17. Prosthetic options for different implant treatments like 18. Fixed ceramic, fixed hybrid dentures, removable implants over dentures etc. 20. All the equipments, materials and implant inventories will be shown and taught to the participants. 21. Participants will practice to place the implants over the dummy models. 22. Live multiple implant surgeries in patient's mouth will be shown to the participants 23. Radiographic template fabrication 24. CT planning of cases with advanced implant planning software 25. Extensive surgical planning with opg and CTs of the patients 26. Surgical stent fabrication over the patient's model 27. Soft tissue management and basic principles of bone grafting 28. Basic principles of maxillary sinus elevation and implants placement
  • 2. 29. Socket preservation (grafting) technique for future implant placement 30. The participants will place the implant in patient's mouth under the guidance of the faculty. (Participants can bring Their own patients to place the implant and can charge the patient with informed consent). 31. Step by step prosthetic procedures for implant restoration 32. Principles of cement retained implant prosthesis 33. Principles of screw retained implant prosthesis 34. Progressive bone loading 35. Immediate loading protocols for implants 36. Multiple Live prosthetic procedures in patient's mouth will be shown to the participants. 37. Occlusion considerations 38. Aesthetic considerations in implant treatments 39. Participants will practice implant prosthetic procedures over the dummies. 40. Maintenance of dental implants 41. Management of complications in implant dentistry 42. Marketing implant dentistry for your practice 43. Participants will restore the implant in patient’s mouth under the guidance of the faculty Course mentor- Dr. Ajay Vikram Singh BDS, PG. Cert. Dental implant, DICOI Dr. Ajay Vikram Singh after graduating from Luck now (India) completed one year P.G. certificate Program in dental implants from India. He then received training for advanced bone and soft tissue grafting procedures in implant dentistry from Miami, USA and also learned many other advanced implant procedures in different continuing education programs in USA. Dr. Ajay is a well known Implantologist, key note speaker and mentor at the international level. He has trained more than 500 national and international dentists in last few years at his center and during different workshops over the basic to advanced implant procedures. Dr. Ajay is an active committee member of different prestigious national and international associations’ like- Academy of oral implantology (AOI), Indian academy of osseointegration (IAO), Indian academy of aesthetic and cosmetic dentistry (IAACD). Fellow of academy of general education (MAHE) Fellow and Diplomate of international congress of oral implantologists (ICOI). He is honorary president of Indian dental association, Agra. He has presented his implant skills as key note speaker at different national and international platforms and has been awarded for the best presentation over nerve Trans positioning and implants placements during ICOI conference at Las Vegas, USA. He has many articles on his name over the advanced implantology published in deferent national and international journals. He treats many international patients every year at his center with advanced implant and cosmetic dentistry skills. Recently - Dr. Ajay spoken as key note invited speaker at following international conferences- - 16th isoi (Indian society of oral implantology) conference, Chandigarh - 4rth international conference of academy of oral implantology (New Delhi) - 6th. International congress of Iranian Society of Oral and Maxillofacial Surgeons (Tehran, Iran) -17th Alexandria international dental congress (AIDC), Alexandria University, Egypt - Famdent scientific presentations, New Delhi -18th isoi (Indian society of oral implantology) conference, Hyderabad
  • 3. Course venue- Dental implants training centre Dr. Ajay Dental Clinic & Research Centre Ram Raghu hospital campus Church Road, Agra -282002 (INDIA) Phones-+91-562-4010263, 09837521956, Website;-www.dentalimplantclinicindia.com www. Implanttrainingindia.com E-mail-drajaydentalclinic@gmail.com mail@dentalimplantclinicindia.com Certificate - Each participant is awarded With well designed certificate of implant Training after this course Course director Dr. Sunita Singh (Dental surgeon& Implantologist) Dr. Sunita Singh completed her BDS from Lucknow and started her private practice in 2003. She has taken a lot of continuing education in cosmetic dentistry and fixed orthodontics at different Centers of India and other countries. She attended many of the national and international dental Conferences to upgrade her knowledge in cosmetic dentistry and fixed orthodontics. She has taken the special Training in cosmetic dentistry from Washington University (USA). She has been awarded as the member of American college of prosthodontists in USA for her excellent work in prosthetic and cosmetic dentistry. She has also been awarded with the best presentation during the ISOI conference at Hyderabad for his skills of using mini implants in fixed orthodontic treatments. She is the active member of Indian academy of aesthetic and cosmetic dentistry as well as academy of oral implantology. Dr. Sunita has given the beautiful smile to a lot of national as well as international patients during her 5 year privet practice. Course Fee- RS. 70, 000/- for individual Indian participant's training RS. 60,000/- per participant for 2-4 Indian participant's training Course fee for international participant - 2500 US DOLLARS COURSE FEE excludes all the implant and other materials Participant place and use in patient's mouth Who can Attend-? Novice as well as practicing implantologists Course Dates- Organized every month
  • 4. What few previous participants say about our implant training courses? I was really over-conscious when joined Dr. Ajay's implant course coming all the way from Libya and had no knowledge about the implants. But I am really thankful to dr ajay and dr sunita, as after joining their implant course, now I am placing implants in my clinic and using multiple systems. Dr Ajay is really a talented guy and good teacher too. Dr. Ahmed Ameen, Libya Email: Dr. Ajay's implant training courses are really good, I learned a lot about the dental implants and would recommend every dentist to join Dr. Ajay to learn the dental implantology. Dr. Naboya Maria Nigeria Email: a2zdent@yahoo.co.uk I would like to thank Dr. Ajay and Dr. Sunita for your teaching and your help to make me learn implants. Dr. Ajay is really a very Good teacher and also a talented person. During my course I was feeling as I am in my clinic and with my family therefore I learned Implant in a very easy way. Dr. Bashar A. Salman, Bagdad (Iraq) MAIL- Contact no. +964790611 bashar_asm@yahoo.com I am very grateful for dr ajay to make me learn all the important things about implantology. From the first day of the course I feel lucky to be one of the participants. Dr. Ajay and Dr. Sunita both have simple personalities so Participant feels very comfortable. I got new friends. I travel a long way from my country to India but now I feel it was worth. Dr. Bassam Rehab, Oman Mail- Contact no. 0096892485861 bassam_rehab@yahoo.com I am a pedodontist in Kenya and accidently discovered this course via internet. I was really apprehensive at first about the authenticity of this course. I registered for the 9 days course, booked a flight to India to learn implants from Dr. Ajay but after my training I am very glad for I made a right decision. Dr. Ajay is a very talented teacher as he simplifies all the technical jargon to the point any novice will understand. The one on one training that I received ensured that I could ask all the 'silly' questions and yet get back a brilliant answer. The ambience of his center is very conducive to learning implants you will practically get to witness all the stages of implantology from the planning stage with CT software up to the delivery phase. I was allowed to see many implant insertion and prosthetic procedures and also to insert implant in patient's mouth under his guidance. Now just after 9 days training I feel very confident to use any implant system at my center. I have no hesitations recommending dr. ajay to any dentist worldwide for the implant training. Dr. Humphrey M. Muriithi (Nairobi, Kenya) Mail- muriithih@yahoo.com Contact no. - +254 722 288891 I had no knowledge about the implants before I joined their course but after joining this course now I am successfully placing implants in my own clinic. The best part of this course is very friendly behavior of dr ajay and dr sunita so the participants feel very comfortable to discuss their queries. Dr ajay remain very supportive for the planning of your own cases in your clinic after the course so you feel very comfortable in your implant practice if your teacher is above you to help any implant procedure at last I could find a best implant teacher and suggest every dentists to go and learn implants from Dr. Ajay. Dr. Rohit Sharma, himachal Pradesh Email- healintouch@rediffmail.com Contact no 094184744 Excellent implant surgeon and mentor. Being an oral surgeon I expressed my wish to learn only the prosthetic part of the Implantology as I thought placing the implant is not a big thing for a oral surgeon but after joining this course I came to the point that the implantology is completely a different science and every oral surgeon should take the training for placing implants and many associated GTR procedures before start practicing the implantology to minimize the failures. I am very thankful to Dr. Ajay as his training was really an eye opening experience for me. Now I am successfully placing implants at my practice and still discuss my cases with Dr. Ajay to minimize the failures. He is very cooperative and generous guy. Dr. Vinayak Karun, Maxillofacial surgeon, mail- vinayakkarun@yahoo.com, phone- 097526-50505
  • 5. I had known Dr. Ajay from the time of my dental graduation as he was my two year senior in the dental College. I am really amazed to see the hard work he has done to reach at this level. He is very brilliant, technically Sound, ultimate mentor, and very good human being. I am very successfully practicing implantology at my center after his course and he is still continue helping me for my cases planning and overcome the apprehensions. Many Thanks to Dr. Ajay for all I am doing in implant practice. I am practicing in a very small city, where Patients were not very used to get the expensive treatments done but I have established a successful implant Practice because of the guidelines I learned during this training. I recommend all the dentists to join his training who really Want to successfully practice the implantology. Dr. Chandan Bhatnagar, General dentist, mail- chandan8125@gmail.com , phone- 09458880111 Dr. Ajay has broken all the apprehensions for placing implants I had, before joining his course. Dr. Ajay is really very talented and opens the entire door to make you learn the implants. Very cooperative and generous Guy, appreciate all of even our silly questions and answers them all. I would like to recommend very dentist to go to his center to learn the real clinical implantology. Dr. Andrew Murphy, General dentist, Ireland, mail- I have been practicing dentistry for over 17 years and I developed interest in the Implant practice at the time of my post Graduation but never had the opportunity to be well trained to start implant practice. During my training at Dr. Ajay’s center I documented proceedings of each day; there was no single day that we did not carry out implant procedures at one stage to the other covering all the stages of the implant from treatment planning to the delivery of the prosthesis using different implant Systems and prosthetic options. I have learnt a lot which is highly important for me to start and establish the implant practice. What more, I would like to appreciate Dr. Ajay and his wife Dr. Sunita for their kindness and warm reception from day one to the end. Special appreciation for the last day of my training, which happened to be my birthday which I just mentioned towards the close of the day and before you know it, in less than 2 hrs, they have already, organized a birthday celebration where I cut birthday celebration cake as if I was really with my family. Indeed it was home away from home. Thank you and god bless you. . Ajayi Joachim O, restorative dentist, Nigeria, Dr. Ajay taught the dental implants in detail and made it quite easy to learn this advanced technique. He has the best infrastructure, equipments and audiovisuals to teach dental implants. The best part of this course is that it's not a particular implant system based course but we learn multiple implant systems during this course so that we can choose any of the system according to our patients to start the implants practice. Dr. Neha Bhandari Rao, (Oral and maxillofacial surgeon), Saudi Arabia mail- drnehabhandarirao@gmail.com Implant training registration form Implant training center Dr. Ajay Dental Clinic & research center, Church Road, Agra -282002 Phones- +91-562-4010263, 09837521956, 09997857263 Website: www.dentalimplantclinicindia.com E-mail: drajaydentalclinic@gmail.com , mail@dentalimplantclinicindia.com Name: ________________________________________________________ Specialty: __________________________ Email: ________________________________________ Mailing Address: ________________________________________________ City: ___________________________ State: __________ Zip/Country Code ___________________ Phone # :(____) _______________________ College/University: ________________________ Degree: _______________ Year: _______ How did you hear about us? _________________________________________________________ How do you wish your name to appear on completion certificate? _____________________________________________________________________________ Learn implants and enjoy world heritage Taj Mahal and other monuments of Agra and Golden triangle