COURSE ATTENDANCE VERIFICATION

Participant's Name: Parul Dua Makkar

State and License #: Ny053657

Participant AGD ID#: 000536570

Course: The Mind/Body Dental Specialty, The Patient Experience Blueprint

SPEAKERS: Juan Acosta

Educational Method: Self Study

CE Hours: 1

Educational Type: Self Study

Course Date: May 6, 2025

AGD Code:

550 – Practice Management and Human Relations

Verification Code: DFX-JA1

Authorized Signature:

PARTICIPANTS:

This activity has been planned and implemented in accordance with the standards
of the Academy of General Dentistry Program Approval for Continuing Education (PACE)
through the joint program provider approval of Delivering WOW and Dentalflix.
Delivering WOW is approved for awarding FAGD/MAGD credit.

Keep this form for your records.

AGD Members: Delivering Wow will submit attendance verification to the AGD on your behalf.
Please allow at least 30 days for documentation of participation to be added to your transcript