Dentist Form 1 - New York State Education Department
6. New York State DMV ID Number (Driver or Non-Driver ID) (Leave this blank if you do not have a New York State DMV ID Number) 7. I am applying for (check one): Licensure based on successful completion of a residency program approved by an acceptable national accrediting body; such as the Commission on Dental Accreditation. ................
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- please read carefully the following information
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