Once you have completed all fields, print and sign the form. Please print and submit by fax.

Loma Linda University, School of Dentistry
Continuing Education and Alumni
11245 Anderson Street, Suite 120
Loma Linda, CA 92350
(909) 558-4685  Fax (909) 558-0835  continuinged@llu.edu

City State Zip Code
Phone Fax
License Number DDS AUX
LLU Grad Year

Upcoming Courses

01/10/21: Hurts So...Swell! $195 DDS
$145 AUX
01/31/21: Management & Utilization of the RDAEF $195 DDS
$145 AUX
01/24/21:Tooth Bleaching Advances and Occlusal Treatment for Restorative Situations $195 DDS
$145 AUX
01/31/21:  Demystifying full mouth rehabilitation & Tips to Make Everyday Procedures a Little Easier $195 DDS
$145 AUX
03/05/21: Occlusion - A Down to Earth Practical Course $195 DDS
$145 AUX
; 03/07/21: Clear Aligner Orthodontics $195 DDS
$145 AUX

Payment Information (Visa, MasterCard, Discover, check or cash)

Credit Card Expiration
CVV Code Total Amount