School Of Dental Assisting
Seal Of Approval

 Contact NSDA Puyallup:
 10317 122nd Street East
 Suite D

 Puyallup, WA 98374

 Telephone Numbers:
 253-435-5656 Office
 253-435-5838 Fax

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Upcoming Classes

• Saturday May 28, 2022
• Saturday August 27, 2022
• Saturday November 19, 2022
• Saturday February 25, 2023
• Saturday May 20, 2023
• Saturday August 19, 2023
• Saturday November 11, 2023
• Saturday February 17, 2024
• Saturday May 11, 2024

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Denotes required fields

First Name Last Name
Street Address
City State Zip
Home Phone Mobile Phone

Email Date of Birth

Ever been convicted of a drug related offense? Yes No
In case of emergency, whom should we contact?
Relation and Phone Number


High School Diploma or G.E.D.? Yes No Completion Date

Session applying for
Need a Catalog Yes No
I certify that all the information provided is complete and accurate to the best of my knowledge.
Yes No
How did you hear about us? If Other:
Please prove you're human by answering the following question:
Stomach, duck, fruit and snake: how many body parts in the list?
Additional Comments:

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