2020 Summer SMCDS Mouthpiece Newsletter


➣2 Event Calendar ➣4 President's Message ➣5 Trustee Message ➣6 Member Acknowledgements ➣7 New Members ➣8 Milestones / In Memorium ➣9 Business Members Wall of Fame ➣10 Orofacial Myofunctional Thearpy ➣11 Arthralgia: Demystifying Pain to Find a Definitive Diagnosis ➣12 Combating Stress with Mindfulness ➣20 Classifieds

San Mateo County Dental Society | Every Member. Every Day. Summer 2020



In This Issue:

▪ Message From Our President

▪ Arthralgia: Demystifying Pain to find a Definitive Diagnosis

▪ And much more.....

2020 Member Events Calendar

See upcoming events art


New / revised course info highlighted in bold text

for details and registration.

2 | San Mateo County Dental Society | smcds.com

2020 Executive Board

President: Benjamin A. Yount, DDS

President Elect: Brad Hart, DDS

Treasurer, Secretary: Purvi K. Zavery, DDS, MS

Immediate Past President: Sara A. Andrews, DDS, MS

2017 Past President: Benson Wong, DDS

CDA Trustee: Carliza A. Marcos, DDS

Executive Director & Editor: Nakia Brandt

Published Quarterly


San Mateo County Dental Society

525 Veterans Blvd, Suite 102

Redwood City, CA 94063





twi er.com/ SMDentalSociety


Nakia Brandt

Execuve Director


Adversing Coordinator

James V. Aicardi

Operaons Specialist


Membership Coordinator

Mike Aicardi

Membership Specialist


Printer / Designer

Press Print, Inc.




2 Event Calendar





President’s Message

Trustee Message

7 New Members

8 Milestones / In Memorium

9 Business Members Wall of Fame

10 Orofacial Myofunconal Therapy


Member Acknowledgments

Arthralgia: Demysfying Pain to

Find a Definive Diagnosis

Combang Stress with Mindfulness

20 Classifieds

All expressions of opinions and statements

of facts contained herein are published on

the authority of the writers and or editors

and are not to be construed as the official

views of the San Mateo County Dental


All editorial contributions are subject to

space and/or content editing at the

Editor’s discretion.

Mouthpiece | Summer 2020 | 3

President’s Message

Ben Yount, DDS

Hello everyone,

The SMCDS staff and the board have been tirelessly (and

joyfully) working to provide you with the latest information

pertaining to our profession. COVID-19 created a time of

crisis in our industry and the need for immediate

information regarding employment law, HR concerns,

PPP/EIDL loans, PPE changes, new requirements, and backto-work

strategies was a hurdle. The COVID-19 pandemic is

a moment in our history that could not have been predicted

and during our shutdown for nearly 3 months organized

dentistry on the local, state, and national level came

together. We took that time to assess the situation, to

financially prepare our dentists, and to prepare the dental

teams to go back and work in an environment that was safe

for all. COVID-19 is still here and it's still a threat, but I want

to take this moment to give you an update and discuss our

successes as well as go over the plans for the future.

Each week our executive director, Nakia Brandt meets via

Zoom with leaders from ADA and CDA. They discuss

changes, the needs of dentists whether it be through

government grants and loans, unemployment, the need for

PPE, etc. Our staff consisting of Nakia, Mike, and Jim have

been advocating for us during this time and providing the

most up to date information. We've had 3 member

webinars in which 523 people have attended. In terms of

COVID-19 broadcast emails, there were 89 sent out from

March 3, to July 13, and there were 33,536 opens and

10,697 links clicked! Those numbers are staggering.

Currently we have 678 members which is up from this time

last year and SMCDS dentist members' account for over

78% of the dentists in San Mateo County.

The SMCDS board has met regularly and it has been our

mission to help our members prepare for a secure future

along with ensuring the long-term stability of the society

itself. We keep up to date on the financials and make

decisions for the greater good of the society which in turn

will benefit the dental community and the communities we

serve for years to come. I have truly witnessed the magic of

what being a part of organized dentistry is and we are

stronger together.

Sadly, we are still mourning the loss of our beloved staff

member Shirley Powell. She was a tender soul and

someone whose words of genuine encouragement did

exactly what she intended. She lifted our spirits and as your

president she coached me before and after various

membership meetings and always made me feel great.

Mike, Jim, and Nakia worked closely with her and miss her

very much. Please keep them in mind.

These are tumultuous times for everyone and to varying

degrees. Be kind to one another and recognize that life is a

delicate balance and it's fragile. It is my honor to be your

president and please contact the dental society if you have

any concerns or if there is something we can help you with.

Yours Truly,

Ben Yount DDS

Cell: (650)436-7117

Office: (650)344-7888

Email: inkbendental@gmail.com

4 | San Mateo County Dental Society | smcds.com

Trustee’s Message

Carliza A. Marcos , DDS

Well…it seems like forever since my last update. I hope this

finds you well and safe.

Like many of you, the events of the recent months have

brought fears, tears, and countless sleepless nights thinking

about the solvency of our businesses and the state of our

world. We are living through this extraordinary time that has

forever changed our organization, our practices, and our


Through our 10 weeks of mandated shelter in place (SIP) and

the recommended “emergency care only”, CDA has

continued to protect our profession and patients. SMCDS is

very fortunate to have a wonderful executive director who

has kept our members up to date with frequent email

updates on the latest CDA and CDC news. I encourage you all

to read Nakia's updates as they keep you in the loop with

this constantly changing landscape. The CDA website

www.cda.org is also an incredible resource for questions

about patient care, HR inquiries, provider relief funds, SBA

loans, licensure, and CE requirements etc.

The Board of Trustees (BOT) “met” weekly via zoom for

informal updates during the months of SIP. For me, it was a

great source of support during the chaos and uncertainty of

the first few weeks of our shutdown. We were given regular

reports on the progress of conversations with the

governor's office, CDC, and local county health

departments. Since most of California's dental offices have

re-opened, our BOT informal calls have shifted to twice a

month. That's a good sign as latest reports indicate that

many dentists and leaders are just making up the backlog of

patient treatments. It is estimated that most dentists are on

average 60-70% of their pre-COVID-19 production.

Some other relevant information:

The remaining of the year's meetings, including the

ADA and CDA House of Delegates will be held


CDA Presents in Anaheim and San Francisco were

canceled this year; however, the CDA Board of

Managers provided virtual CE courses and plan to

do the same for the Fall meeting. They are looking

ahead to 2021 and looking at a hybrid model (part

virtual and part in person) for scientific sessions

CDA President Dr. Rick Nagy convened two

workgroups during SIP : the clinical workgroup and

economic relief workgroup. There is also an office

staffing workgroup that has just been created.

The CDA Finance Committee and BOT have been

stress testing best and worst case scenarios to

manage the sustainability and financial health of

CDA during this crisis. Rest assured that CDA is

being proactive to keep our organization fiscally

responsible and strong through the challenges that

COVID-19 has presented us

A ballot initiative was filed to raise the cap on

MICRA (Medical Injury Compensation Reform Act).

The CDA has joined an opposition coalition made

up of heath care providers, hospitals, and

insurance companies. We expect this issue to be on

the 2022 ballot

Finally, I ask you all to continue to support organized

dentistry. Now-more than ever- we see the value in a

united front to help get our members and patients get

through these un-precedented times.

As always, if you have questions, concerns, and/or

suggestions - please feel free to reach out to me by phone

(415)309-7693 or email carlizaa123@comcast.net

Respectfully submitted,

Carliza A. Marcos, DDS

Mouthpiece | Summer 2020 | 5

to 16

Advertisers Business Members Exhibitors Sponsors Study Clubs

who have generously supported our continuing education, professional success,

practice management, workshop/clinical programs this past quarter.

6 | San Mateo County Dental Society | smcds.com

New Members


Join us in celebrating 26 new members

contributing over the course of the first half

of 2020 to the voice that is SMCDS - 658

strong …

Mouthpiece | Summer 2020 | 7

In Memorium

We are saddened by the loss of …

Martin E. Frankel, DMD, MDS – Marty was one of the founding fathers in the field of TMD and

Orofacial Pain. He attended Tufts College, Tufts Dental School, Tufts Orthodontic Program and

simultaneously completed his masters in Dental Science. He opened a private Orthodontic

practice in Hempstead, N.Y. and became Chief of the TMJ Clinic at both N.Y. Eye and Ear and North

Shore Medical Center. He relocated to California where he completed a Prosthodontic residency

at UCSF Medical Center. He opened a private practice in San Francisco and Palo Alto limiting his

practice to TMD and Orofacial Pain. He became an adjunct clinical professor at Stanford University

Medical Center. He was a member of numerous societies including F.A.C.D., F.I.C.D., ABOP, AAOP,

AAO, and published numerous articles and enjoyed lecturing nationally and internationally.

His friends and family knew if something had to get accomplished “Just Ask Marty”

He will surely be missed by his family, friends, colleagues and all the people he helped throughout

his career.

He is survived by his wife Cheryl, sons Jonathan (fiance' Jasmine), Matthew (dautghter-in-law

Allie) and grandchildren Zoey and Noah.

James Miller “Jim” Holmes,

DMD – Redwood City General

Dentist and SMCDS member of

48 years - passed away April 14.

Jim graduated Oregon Health

Science University in 1971 and

practiced his entire career in

Redwood City before retiring in


Edward M. O'Reilly, DDS –

South San Francisco General

Dentist and SMCDS member of

17 years - passed away January

11. Ed graduated Creighton

University Boyne School of

Dentistry 1963 and practiced his

entire career in South San

Francisco before retiring in




James S. Kim, DMD – Millbrae

General Dentist and SMCDS

member of 33 years has

retired and sold his practice to

Fabiana Melo.

8 | San Mateo County Dental Society | smcds.com

SMCDS Business Member

Premier 2020 - 2015

Vantage Wealth Management


® ® ®

Tom O’Brien,CFP , CLU , CHFC

Financial Advisor



Platinum 2020

Living Benefits Geek


Mike Wong




Platinum 2020 - 2015 | Silver 2014

Platinum 2020 - 2015 | Silver 2015

Endorsed 2020 - 2010

C-Dental X-Ray


Julia Peck

Operations Manager



Yaeger Dental Supply


Tim Yaeger, Jr.




TDIC Insurance Solutions


Blair Tomlinson

Sales Manager



CJ Williams

Vice President Healthcare Financing



Platinum 2020

Platinum 20 20


Platinum 2020

Forrest Wiederman

Vice President Dental Financing



Rectangle Health

David Fitzgerald

Sales Representative



Carr Healthcare

Foad Ahmadi

Broker, Northern California



Platinum 2020-2016

Dental & Medical Counsel, PC


Ali Oromchian, Esq.


ao@dmcounsel.com Platinum 2020


www. unifirst.com

Samuel Porras

Sales Manager



SMCDS Business Members acknowledged on this

contribute in meaningful ways* throughout

each year of their membership to our society’s fiscal health, industry intelligence, and community presence. *Event sponsorships,

educational seminars / workshops, table clinics with timely dental industry / small business information, special product offers /

pricing discounts, products and services relevant to your professional success and the oral health of our community. Business

Memberships are an important source of non-dues revenue that has helped SMCDS to increase and improve

member programs without raising SMCDS dues for more than a decade. We count on Business Members to engage professionally

with members - as consultants focused on identifying and fulfilling your needs. In exchange, we encourage you to consider

SMCDS Business Members as preferred providers when in the market for products and services.

Membership Levels: Premier $5,500 Platinum $4,000 Gold $2,900 Silver $2,100

Mouthpiece | Summer 2020 | 9

Orofacial Myofunctional Therapy:

The Key to Successful OMD Treatment

Lauren Ibarra, RDH

Orofacial Myofunctional Therapy (OMT) is a field that has

been around for a while, that many of you may not have

heard of. OMT is a growing field that is becoming more

integrative and collaborative with dentistry. OMT is the

retraining of the muscles of the face and mouth to eliminate

behaviors and habits that are causing structural and

functional issues. These behaviors and habits are generally

referred to as orofacial myofunctional disorders or OMD's.

OMD's may affect airway function, sleep quality,

breastfeeding, facial skeletal growth, swallowing, speech,

occlusion, TMD, oral hygiene, orthodontic treatment and


As a hygienist with a background in OMT, I see the

connection on a daily basis. Some examples of OMD's we all

see in our patients include: mouth breathing/open mouth

posture, tongue thrust, thumb or digit sucking, nail biting

and tongue tie. Orofacial Myofunctional Therapists (OMT's)

work collaboratively with other specialists such as Dentists,

Orthodontists, Oral Surgeons, Pediatricians, ENT's, Physical

Therapists, Speech Language Pathologists and others.

An example of an OMD I see regularly is oral versus nasal

breathing. The tongue resting on the roof of the mouth is

key to shaping the Maxilla. In a mouth breathing scenario,

the opposite occurs as the tongue rests low in the mouth.

This leads to the formation of structural changes of the

bone and occlusion. The maxilla eventually develops a

narrow high arch, the teeth become more crowded

resulting in less room for proper tongue rest posture. As we

know, the roof of the mouth is the floor of the nose,

therefore deviation of the nasal septum may also occur as

the maxilla narrows, which makes nasal breathing more

challenging and exacerbates the compensation to mouth

breathe even more.

Another example of an OMD affecting dentistry would be a

tongue thrust swallow pattern. This can be a nightmare for

orthodontic relapse and prolonged treatment, if not

addressed. Tongue tie is another OMD that can cause the

inability of the tongue to properly clean the teeth and oral

cavity of food debris, which can increase caries rate. Other

issues associated with tongue tie can be: reflux, sleep

breathing disorders such as snoring, apnea, hypopnea,

speech issues, tongue thrust and crowded dentition. These

are just some examples of how an OMD contributes to the

form following the function.

So how do I explain to my patients what myofunctional

therapy is and its importance? I like to use the example of

poor posture. Sometimes poor posture is caused by

improper or lack of use of our musculature, whether it be

during use, or at rest. Over time, due to lack of use, the

musculature may become flaccid. The muscles that are

dominantly engaged will start to overcompensate for the

weaker ones. Eventually this can result in physical changes

(slouched appearance), pain in joints (hips or knees), or

pain in the overworked muscles (muscle spasms). A similar

scenario can occur in the muscles of the face and mouth, as

well. Myofunctional therapy is like detective work.

Determining the underlying cause(s) or “the why” of a

muscular compensation(s) is key to successful treatment of

the OMD's. Once this is achieved, creating new

neuromuscular patterns to replace existing compensations

will be the end goal of therapy. Therapy can last up to a year

depending on the degree and number of the OMD's not to

mention the intensity, duration and frequency the patient

puts into doing the therapy at home. The end results of

better breathing, sleep quality and overall health are


10 | San Mateo County Dental Society | smcds.com

Arthralgia: Demystifying Pain to

find a Definitive Diagnosis

Andrew Young, DDS, MSD

A 71 year-old Caucasian male presented with the chief

complaint of pain in his lower right quadrant, involving the

posterior teeth and the angle of the mandible.

His pain had been present for the past 9 years. His dentist

suspected #31, so RCT was performed. Pain resolved for a

couple weeks, but returned. It was then extracted, with the

same short-lived relief.

The constant ache had an intensity of 2-6 out of 10. Advil

400 mg would eliminate it for a day. 5-20 minutes after

brushing or chewing, it would worsen.

TMJ palpation caused mild pain in the right TMJ. Opening

was a painless 42 mm. Laterotrusions were each 13 mm.

Left laterotrusion and protrusion caused a mild “sensation”

from the angle of the ramus to the TMJ, reproducing the

chief complaint.

Palpation of the right superficial masseter caused moderate

pain, the left felt mild pain, and the right deep masseter felt

mild-moderate pain. All three reproduced the chief


The lower right quadrant was tested. The following

reproduced the chief complaint: vertical percussion of #30

and 32, and horizontal percussion of #32, biting on #31, and

periodontal probing of the buccal surface of #31. The

following were painless: apical palpation, an explorer

scraped along the cervical portions, and cold-testing.

Prior to the exam, his pain intensity was 2. Following the

muscle palpation and dental exam, his pain reached 6.

Topical 20% benzocaine was then applied to the gingiva in

site #31, as well as the buccal gingiva of #30 and 32. Ten

minutes later, the pain decreased to 1-2. 45 minutes later, it


He was diagnosed with arthralgia of the right TMJ and

myofascial pain of the masseter muscles with referral to his

lower right quadrant.

He was instructed to take ibuprofen 400 mg, QID for 1

month for his TMJ arthralgia. He was taught to self-massage

his masseter muscles for one minute every hour and to do

warm and compresses daily for 10-20 minutes each; all were

done with stretching. Massages and compresses help clear

muscles of algesic agents, and stretches do the same for

muscles and joints.

After one month, he had no more pain.

Some findings warrant discussion. Why did the pain

disappear with topical anesthetic? Before the exam, his

pain level was 2. The subsequent muscle palpation, range of

motion tests, and staying open for the quadrant testing,

irritated his muscles. Then topical anesthetic was applied,

followed by waiting for it to take effect, which allowed his

muscles to recover.

Why had the previous root canals and extractions made his

pain disappear momentarily? For some time following

those treatments, he took analgesics and ate soft foods.

Why had the percussion tests reproduced the chief

complaint? The sore muscles hypersensitized the entire

region. The biting test for #31 hurt because biting requires

contracture of the sore masticatory muscles.

This case demonstrates the occasionally confusing nature of

pain, and how a complete history, description, and physical

examination can lead to diagnoses and resolution.

Note: Dr Young currently treats patients at UOP and Arthur

A. Dugoni School of Dentistry in San Francisco.

Mouthpiece | Summer 2020 | 11

Combating Stress with


Mark Abramson, DDS

Burnout is a long-term stress reaction characterized by a

state of emotional, mental and physical exhaustion and a

lack of a sense of personal fulfillment and accomplishment,

however, there is a solution: Mindfulness practices not

only reduce stress, but actually lead to physical changes in

the brain that can alter mood and quality of life.

Stress and anxiety are daily facts of life for many people and

running or working in a dental practice can be particularly

stressful. The ADA Center for professional Success notes:

Stress can occur in various ways throughout your normal

workday: Handling an anxious patient, performing a not-sofamiliar

procedure, or managing the intricacies of health

insurance plans are all cumulative stressors that make an

impact by day's end.

The ADA discovered that of dentists:

• 79.4 percent feel low in energy

• 55.8 percent blame themselves for things gone wrong

• 34.9 percent feel hopeless about the future

• 29.1 percent have no interest in things

• 23.5 percent have feelings of worthlessness

• 41.9 percent have difficulty concentrating and making


Of these respondents, 22.6 percent indicated moderate to

severe depression. Other studies found similar responses:

34 percent frequently or always felt physically or


emotionally exhausted and 47 percent were somewhat

happy to unhappy with little interest in life.

What is Mindfulness?

Mindfulness, defined as non-judgmental, moment to

moment awareness, has been shown to be an effective

stress reduction practice. A 2011 study published in Clinical

Psychology Review concluded that the practice of

mindfulness “brings about various positive psychological

effects, including increased subjective well-being, reduced

psychological symptoms and emotional reactivity, and

improved behavioral regulation.” To assist dental

professionals, Dr. Mark Abramson worked with the ADA

Center for Professional Success to develop a series of

videos on mindfulness. These videos aim to help dental

professionals, staff and patients create a more healthy and

happy work environment. Stanford medical center has also

formed a committee to address stress in amongst clinicians

and has recommended classes in mindfulness and

compassion training, in which Dr. Abramson took part in

teaching. Educational videos were also created designed to

develop greater mindfulness in the routine activities of

medical/dental procedures.

How does one practice mindfulness?

Finding techniques to refocus the mind on the present

moment and quieting the mind from all the “noise and

chatter” of daily life.

Mindfulness can be performed daily during our clinical

work routines: one of the practices is to make a meditation

of washing one's hands or scrubbing up for a procedure.

Simply focusing on the sensation of the soap, water and

feeling of touch acts to center and relax the mind and body

that support better performance and it does not require

any additional time to do.

Is there Science To Prove Mindfulness Works?

Neuroscientist Sara Lazar found that people who practiced

meditation had more gray matter in the part of the brain

linked to decision-making and working memory: the frontal

cortex. She noted during an interview with the Washington

Post (Schulte 2015,) “meditation had been associated with

decreased stress, decreased depression, anxiety, pain and

insomnia, and an increased quality of life.” In her research

paper, Lazar et. Al, (2005) Meditation experience is

associated with increased cortical thickness Neuroreport.

2005 Nov 28; 16(17): 1893–1897, the authors looked at

long term meditators vs a control group.

“We found long-term meditators have an increased

amount of gray matter in the insula and sensory regions,

the auditory and sensory cortex. Which makes sense.

When you're mindful, you're paying attention to your

breathing, to sounds, to the present moment experience,

12 | San Mateo County Dental Society | smcds.com

and shutting cognition down. It stands to reason your senses

would be enhanced.” She explained.

“We also found they had more gray matter in the frontal

cortex, which is associated with working memory and

executive decision making. It's well-documented that our

cortex shrinks as we get older – it's harder to figure things

out and remember things. But in this one region of the

prefrontal cortex, 50-year-old meditators had the same

amount of gray matter as 25-year-olds. So the first question

was, well, maybe the people with more gray matter in the

study had more gray matter before they started meditating.

So we did a second study.

We took people who'd never meditated before, and put one

group through an eight-week mindfulness- based stress

reduction program.

We found differences in brain volume after eight weeks in

five different regions in the brains of the two groups. In the

group that learned meditation, we found thickening in four


how I should feel all the time!” But you can't get more than 3

good night's sleep per year because of the circumstances of

your life. Well, with TM (meditation) you can have that every


Oprah Winfrey: “That way of being 'still' with ourselves –

coming back to the center and recognizing that something is

more important than you – it's more important than the

work you are doing, brings a kind of energy, an intention that

we have never had before.”

Bringing mindfulness to yourself, your patients, and your

team. Teach your patients about proper breathing and

encourage them to hold some awareness of their

breathing…be a value added practice. This can help the

fearful and anxious patient immensely. By being the natural

centering effect that mindful presence brings you will be a

calming presence and guide for your patients.

1. The primary difference, we found in the posterior

cingulate, which is involved in mind wandering,

and self relevance.

2. The left hippocampus, which assists in learning,

cognition, memory and emotional regulation.

3. The temporo parietal junction, or TPJ, which is

associated with perspective taking, empathy and


4. An area of the brain stem called the Pons, where a

lot of regulatory neurotransmitters are produced.

The amygdala, the fight or flight part of the brain which is

important for anxiety, fear and stress in general. That area

got smaller in the group that went through the mindfulnessbased

stress reduction program. The change in the

amygdala was also correlated to a reduction in stress levels.”

Who Else Practices Meditation?

Steve Jobs: "If you just sit and observe, you will see how

restless your mind is. If you try to calm it, it only makes it

worse, but over time it does calm, and when it does, there's

room to hear more subtle things - that's when your intuition

starts to blossom and you start to see things more clearly

and be in the present more. Your mind just slows down, and

you see a tremendous expanse in the moment. You see so

much more than you could see before. It's a discipline; you

have to practice it.”

Jerry Seinfeld: “Do you know how three days a year you get a

good night's sleep? And you wake up and feel like “Oh, this is


Resources developed by at Stanford University regarding

mindfulness can be found here:


The ADA Center for Professional Success has developed

resources regarding stress management as a member

benefit: https://success.ada.org/en/wellness/how-toreduce-stress

Mouthpiece | Summer 2020 | 13

David Fitzgerald

Sales Representative


www.rectanglehealth.com | dfitzgerald@rectanglehealth.com

How to Restore Dental Operations Safel and Effectively:


Sedation and Anesthesia for the Dental Office


Board Certied Physician Anesthesiologist




16 | San Mateo County Dental Society | smcds.com

Ken Parker

(650) 743-3349 | kparker@kometusa.com





Mouthpiece | Summer 2020 | 17

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18 | San Mateo County Dental Society | smcds.com

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Mouthpiece | Summer 2020 | 19


Seeking Associate to buy in State of

the Art San Bruno Facility in a major

thoroughfare with Youtube, Tanforan

mall, Bart Station, Caltrain in our

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retail complex being built across the

street. 2,121 Sq Ft, 4 Treatment Fully

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rooms fully plumbed with cabinetry.

Contact 650.228.6880 or


Thinking of retiring or slowing

down? Want to practice but not

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dentistry. Please call 415.269.6254

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Would you like to reduce your rent

by 50%? General Dentist of 20 years

seeking an opportunity to sublease

in a practice in Foster City, San

Mateo or Burlingame. Contact Dr.

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2 Chayes Virgina Dental Chairs

La Siesta Model gray color work well,

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Seeking a Retiring Dentist Practice

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radius from Whipple and El

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call 650.454.0023

Full time general dentist, hygienist

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days a week, Monday, Friday &

Saturday plus another weekday.

Please respond with a detail resume

including all previous employment

and compensation expectation.

Email address: Bellerk@yahoo.com

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Supporting SMCDS DHF Outreach Activities

is Free & Easy!

You shop.

Amazon donates!

Details at


20 | San Mateo County Dental Society | smcds.com











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