Join The Tooth Fairy Army - Halo Dental Network

Enlist In The Tooth Fairy

We appreciate your interest in joining The Tooth Fairy Army and look forward to getting to know you. Please provide the following information for consideration:

First Name:

Last Name:

Email:

Cell Phone Number:

Name of Current Practice:

Office Number:

Office Address:

Office Website:

Other disciplines:

Years in Practice:

Dental School Graduated:

Year graduated from dental school:

Do you own the practice in which you work?

If yes, for how many years have you owned the practice?

Personal Instagram handles:

Business Instagram handles:

Please list relevant certifications:

Enlist In The Tooth Fairy

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