SKCDS Summer Newsletter

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MEMBERSHIP

Quarterly SUMMER 2012

VOL 10 / ISSUE 5

Managing your online reputation Page 20

Members talk work-life balance

Boot Camp 2012 a Big Hit

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L to R: Drs. Megan Mulligan, Oleg Shvartsur, Rosana Bishai and Dusty Janssen were among the participants in this year’s New Dentist Boot Camp. See page 10 for details.

We’ve Given Away a Million Bucks! Page 5

Member Profile:

Handling patients’ Don’t Miss Our Great CDE financial pain

Dr. Theresa Cheng

Speakers

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Page 6

Page 14

22 01 Sixth Ave. Suite 1210 Seattle, WA 98121-1831 206-448-6620 www.skcds.org


Connect with Faculty Join the Community Care for Anxious Patients

Oral Sedation Dentistry 3-day course | 25 credit hours

Grow your practice, reach and knowledge Key Educational Objectives: • Learn protocols to sedate healthy adults while applying the highest safety standards and offering positive experiences for patient and practitioner • Gain crucial knowledge about current medical science and become a better clinician • Acquire skills to help the millions who fear dentistry by managing their pain and anxiety

Bellevue, WA October 12-14, 2012

Tuition

• Streamline team training to maximize practice profit • Participate in hands-on airway techniques and vital signs monitoring

Doctor .................................................... $ 2,497 DOCS Education Member ............... $ 2,247 Team (per person) .............................. $ 738

We promote practical, proven, safe methods to sedate your patients

(Separate team sessions)

Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. 9/17/2000 to 12/31/2012

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April Burus

Dr. Robert Fazio

Dr. Leslie Fang

Dr. Anthony Feck

888.611.8080 | DOCSeducation.org/OSD


Seattle-King County Dental Society Membership Quarterly

STAFF Managing Editor: Ms. Jennifer L. Freimund Contributors: Dr. Gary E. Heyamoto Mr. Ian McNickle Dr. Alan M. Munk Ms. Krystal Bishop Ms. Sandra Anderson Publisher: Ms. Liz Enbysk, State Street Writing, LLC COMMUNICATIONS COMMITTEE Dr. Elizabeth K. Lyons, Chair Dr. Victor Barry Dr. Gary E. Heyamoto Dr. William E. Hooe Dr. Dan G. Middaugh Dr. Gregory Y. Ogata Dr. Jason P. Pehling Dr. Christopher Pickel Dr. Douglas P. Walsh Dr. Leah D. Worstman Dr. James Reid / Liaison OFFICERS Dr. Princy S. Rekhi, President Dr. Patrick “Rick” E. Taylor, President-Elect Dr. Cynthia R. Pauley, Past President Dr. Timothy A. Hess, Treasurer Dr. Kimberly A. Winton, Secretary EXECUTIVE COUNCIL Dr. Bart S. Johnson, 2013 Dr. Edmond L. Truelove, 2013 Dr. Amrit K. Burn, 2014 Dr. Audrey K. Tatt, 2014 Dr. Michelle Caldier, 2015 Dr. James W. Reid, 2015 Dr. Joseph A. Schneider, 2015 Ms. Jennifer Freimund, Executive Director Change of Address: To ensure continued receipt of issues, change of address must be reported to: SKCDS Central Office, 2201 6th Ave., Suite 1210, Seattle, WA 98121, as soon as possible -(206) 448-6620. Email: skcds@skcds.com The information in this publication is for the exclusive benefit of Seattle- King County Dental Society members. Neither the Society nor the publisher makes any express or implied warranties as to the information herein, including the contents of any advertising. Opinions in the Quarterly do not necessarily express the official policies of the Seattle-King County Dental Society, nor the opinions of the editor, unless so stated. For advertising and publishing details, contact: Liz Enbysk, State Street Writing, (425) 373-3285 liz@statestreetwriting.com

SUMMER 2012 Volume 10, Issue 5

CONTENTS President’s Page with Dr. Princy Rekhi ........................................................... 4 We’ve Given Away a Million ........................................................................... 5 Upcoming CDE Program Speakers ................................................................... 6 UW Advanced General Dentististry ................................................................. 8 Members Share Views on Work-Life Balance ................................................ 9 Boot Camp 2012 ..................................................................................... 10 Member Profile: Dr. Theresa Cheng ............................................................. 12 Dealing with Patients’ Financial Aches and Pains .............................................. 14 Welcome New SKCDS Members ................................................................... 18 ADA Launches New Website ..................................................................... 19 • Find-A-Dentist Feature Enhanced ................................................... 19 Tech Corner: Reputation Management for Dentists .......................................... 20 Exposures with Dr. Al Munk ........................................................................ 22

THANK YOU TO OUR ADVERTISERS DOCS Education ......................................................................................... 2 NORDIC ................................................................................................... 5 O’Brien Dental Labs .................................................................................. 6 Ann J. Durham Attorney at Law ..................................................................... 7 Home Owners Club ..................................................................................... 7 Dental Professionals ................................................................................... 8 Seattle Central Community College ............................................................ 8 Charles Spaeth / Yates, Wood & MacDonald ................................................ 9 Robert L. Horchover Sleep Apnea & Snoring ................................................... 9 AFTCO ................................................................................................... 11 Dr. Dennis Kuplan CPA .............................................................................. 14 Washington Dentists Insurance Agency ......................................................... 15 DP Incorporated ........................................................................................ 16 Dental Employment Services ..................................................................... 16 DSG Harrison & Cardillo ............................................................................. 17 Pacific Continental Bank ............................................................................ 18 Sleep Apnea and Facial Pain Center ............................................................. 21 CLASSIFIEDS ............................................................................................ 23 Constantine Builders ................................................................................. 24 2012 SKCDS SUMMER QUARTERLY l 3


We Are All In This Together As summer begins, we notice the light shines brighter on dentistry. Since my first article, so much has occurred that I couldn’t possibly begin to brief you on the happenings in dentistry thus far. Be it James Dwyer’s inflammatory remarks denouncing the very profession that feeds him, or the mid-level provider bills being drafted for the upcoming legislative session, it proves to be a challenging time for dentistry. And yet, our dental community has stood strong and united to fight for progress in the right direction. Many of you may ask: “What is the Society doing for me?” Well, let me try to address that as best I can. I assure you we have remained on top of the issues relating to the King 5 investigative report and provided a response along with communication to our members; we now continue to monitor the situation and are doing the best we can within the confines of the law. During that time, I was overwhelmed and pleasantly surprised at the many comments and notes of encouragement we received from our members relating to my article as well as our response. It shows my first goal as president, engaging the membership, is well on its way to success. In an effort to continue involving our members in the work of the Society, the Executive Council graciously devoted a day to sit down and brainstorm ideas, formulate goals and begin to work on solutions to the issues we foresee coming to light in this year. Much of the time was dedicated to understanding and addressing the concerns of our membership, ensuring that we stay in close touch with the issues that most directly affect us as dentists. Without a doubt, the debate over scope of practice issues with mid-level providers and denturists never fails to come to the forefront in this context. After developing a communication plan regarding this issue for our Society members, the Council discussed the submittal of an opposition letter to the DQAC against increased scope of practice for non-dentists. This is a concern that impacts not a few but all of our colleagues in the dental community, and our organization stands firm in serving as an advocate for our unified voice. Further work at this meeting included discussion of options for membership benefits, including the institution of social gatherings and functions catering to our fellow dentists in an effort to draw support for the work of the Society on a more personal level. We also hope to revamp the SKCDS website to allow for an enhanced online searchable membership guide and to make the site an engine for further communication between the elected officers, staff and member dentists. We understand that progress will only be made with open lines of communication between all of our practicing members and a commitment to transparency on our behalf as we continue to serve the needs of our community. With all the work that we’re striving to complete within the Society itself, we remain quite aware that much remains to be accomplished in terms of our relationship with the general public. Dentistry is nothing without our patient population, and we must see to it that residents of King County are knowledgeable of not just our efforts but also our goals and motives. It is our hope to educate the general public regarding the behind-the-scenes work of the Dental Society through various avenues such as publishing dentistry4 l 2012 SKCDS SUMMER QUARTERLY

PRESIDENT’S PAGE Dr. Princy S. Rekhi, DDS focused articles in local newspapers and magazines, getting a dentist appointed to the Seattle-King County Board of Health and garnering public interest in our enhanced website--urging patients to access up-to-date news and bulletins relevant to their access to care. Such endeavors on our part will help to reinforce the notion that we really are all in this together; not only are our patients seeking our services, but we similarly hope to acquire their support as we work to improve the current state of affairs in dentistry. We believe strongly that reaching out to the public includes setting up Society-sponsored events to educate our legislators and other public officials about various dental safety nets and, most crucially, how dentists are helping to conserve state finances by identifying, incorporating and implementing innovative programs and strategies in King County. Recently, I’ve focused on appointing a task force that enlists the help of various stakeholders in dentistry, from the private practice dentists themselves to dentists and other professionals in community clinics. Their emphasis will center on the goal of creating, hosting and engaging legislators through events, gatherings, conferences and symposia with a grand, culminating experience at the Swedish Clinic showcasing one of our prized solutions to the issue of access. The current model at Swedish Medical Center is being looked at by not only the Washington State Hospital Association but other organizations and institutions as it acquires the nation’s attention as a cutting-edge archetype to help alleviate the rising cost of emergency center visits for complaints of dental pain. We are thrilled by the success of this program and hope to oversee its expansion into other hospital systems both state and nation-wide. These past few months have been absolutely filled with new and exciting endeavors undertaken on behalf of our Dental Society. We are becoming increasingly aware that there is no time better than the present to tackle the obstacles that may clutter our path, and I have great faith in our joint ability to move forward with strength. In just my short time as president thus far, I have been stunned with the passion and drive to achieve that I see reflected in each and every one of our members. It is precisely this passion for dentistry that serves to propel our daily operations as we seek a brighter future for our profession. I remain cognizant of and confident in our capacity to evolve as an organization into an integral part and parcel of our community with SKCDS serving to light our future with the glimmer of hope!

- Dr. Princy S. Rekhi President, Seattle-King County Dental Society


Everyone Dreams of Winning a Million... We’ve Given Away a Million! Yes, that’s right: The Seattle-King County Dental Foundation (your Foundation) reached an important milestone this year. We have given away over a million dollars to deserving organizations since the establishment of our Foundation in 1992.

patients have gone on to receive such transplants. In addition to these two Seattle-King County Dental Society projects, our Foundation has funded the Medical Teams International dental vans visits to outlying King County areas. Last but by no means least, the Foundation has also funded dental supplies for the PROVAIL dental clinic which treats special needs individuals.

The Seattle-King County Dental Foundation (SKCDF) has a simple, but important, mission: to proactively eliminate dental infection and pain in the King County population that lacks resources and/or access to dental care. Many of our neighbors, particularly in this challenging Please consider supporting our Foundation by: economy, are facing challenges in getting care. • Providing items or services for our annual fundraising auction

We all know that the need is tremendous out there. Due to the generosity • Attending our gala on March 16, 2013 of our many donors, we’ve been able to address some of that need. The Foundation has funded a complex oral extraction clinic at Swedish Hospital • Making a tax-deductible donation to our Foundation that treats patients who are too complex for the community dental safety net. We also provide free dental care to dialysis patients who need to be cleared Our goal is give away another $1,000,000 to help reduce barriers to of dental infection in order to receive life-saving transplants—and 10 of our accessing dental care. Please join us!

NORTHWEST DENTISTS I N S U RAN C E C O M PANY

Why settle? We don’t. We’re fighters. At NORDIC, we don’t like to settle. Our attorneys will fight claims made against you. We’ve garnered a great reputation by having committed, experienced litigators working for us. Simply put, what NORDIC offers is exceptional, hands on service that our competitors cannot match — our value goes much deeper than price. Just ask any dentist who has ever been sued by a patient what mattered most when they got their day in court…the answer will be experience. Don’t settle for less, call us today. We take pride in our exceptional customer service.When you call, you’ll speak with a real person, with real knowledge of professional liability and business owners protection. We’re waiting for your call.

800-662-4075 · www.nordicins.com

2012 SKCDS SUMMER QUARTERLY l 5


Great Speakers Highlight Upcoming SKCDS Programs 2012-2013 Day-long CDE classes Mark your calendars for some interesting and informative classes offered by SKCDS in 2012-2013. We will be co-sponsoring three all-day events with our partners in the dental community. SKCDS is working cooperatively with the UW School of Dentistry’s Continuing Education program, the Pierce County Dental Society, the Snohomish County Dental Society and the Washington AGD to bring some great speakers to our area. Nov. 16, 2012: Dr. Hal Crossley - pharmacology and dentistry Our fall class will be held on Friday, November 16, and features the ever-popular Dr. Hal Crossley. The class will take place at the SeaTac Hilton Hotel from 8:30 a.m. to 4:30 p.m. Participants will earn 7 hours of CE. Dr. Crossley is known for his engaging presentation and sense of humor. Dr. Crossley Prepare to be both entertained and educated as Dr. Crossley talks about pharmacology and dentistry. Those who have heard Dr. Crossley

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speak warn that you might need to watch out for flying tennis balls! Make your reservations early as this class is sure to sell out. March 1, 2013: Dr. Terry Donovan - restoration of worn dentition Our winter all-day class is scheduled for Friday, March 1, 2013 at the Lynwood Convention Center. We will be bringing Dr. Terry Donovan here. Dr Donovan will be speaking on “The Restoration of Worn Dentition.” Dr. Donovan was Professor and Director of the Advanced Dr. Donovan Education in Prosthodontics Program at USC from 1988 to 2006. He has been Associate Dean for General Practice and Executive Associate Dean for Academic Affairs at the University of Southern California, as well as the Chairman of the Department of Restorative Dentistry from 1984 to 1991 and 1994 to 2001. He is currently Professor and Section Head of Biomaterials in the Department of Operative Dentistry at the University of North Carolina’s School of Dentistry at Chapel Hill. He is also Next page >>


Director of Fixed Prosthodontics at the Scottsdale Center for Dentistry. He has published extensively and has lectured worldwide on the topics of restorative dentistry and materials science. He is a member of the ADA, CDA, Los Angeles Dental Society, CAIC, American Academy of Restorative Dentistry, American Academy of Esthetic Dentistry, the American College of Prosthodontists, a Fellow of the American College of Dentists and an Honorary Life Member of the College of Dental Surgeons of Saskatchewan and the Western Canada Dental Society. He is past Chairman of the American Dental Association’s Council on Dental Materials, Instruments and Equipment. May 3, 2013: Dr. Tim Hess - botox treatments/clinical demos Our spring all-day class will feature a local dentist, Dr. Tim Hess, speaking on Botox. This class is co-sponsored with the Washington Academy of General Dentistry. The class will be held on Friday, May 3, 2013 at the SeaTac Marriott. Dr. Hess will speak about Botox treatments Dr. Hess in the morning and do clinical demonstrations in the afternoon. Dr. Hess is a University of Washington SOD alumnus with a general practice in Auburn.

The Attorney Who Gives You The Power To Succeed Ann J. Durham ATTORNEY AT LAW

D U R H A M L A W O F F I C E S PLLC 5413 Meridian Ave N, Ste B, Seattle, WA 98103 Free parking Southeast of Greenlake

206.448.1211

adurham@durhamjeffers.com

www.durhamjeffers.com Practice Transitions

Employment Contracts

Business Formations & Dissolutions

Commercial Property Leases & Purchases

Estate Planning

Restrictive Covenants

Registration for these classes will begin in August. More information will also be forthcoming on our evening CDE classes and general membership meetings. Stay tuned for more great programs in 2012-2013.

Need a Painter, Plumber, Roofer or Electrician? Find contractors you can trust

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ince 1959, Seattle-area homeowners have turned to the Home Owners Club for help finding pre-screened contractors who will perform fine work at fair rates. Unlike other referral services, the contractors the Club dispatches don't pay for listings or referrals. These are independent businesses that have proven time and again they can provide the service and workmanship Club members demand. Guaranteed! Join the Club today for just $48 per year.

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2012 SKCDS SUMMER QUARTERLY l 7


Hospital Dentistry Clinic Becomes UW Advanced General Dentistry The University of Washington Hospital Dentistry Clinic has changed its name to UW Advanced General Dentistry. “The new name better reflects our Clinic’s mission of providing comprehensive general dental care services to a broad spectrum of patients, including both special-needs patients as well as patients in our community,” said Dr. John Evans, director of the Clinic and acting vice chair of the UW Department of Oral and Maxillofacial Surgery, the Clinic’s administrative home. The Clinic’s general dental care includes dental hygiene and disease prevention, crowns, bridges, dentures and implants, and esthetic dentistry. Advanced General Dentistry Clinic fees are set at about the prevailing rate for the Seattle area, but there is an educational discount of about 50 percent for implant placement. “UW Advanced General Dentistry will remain the primary Clinic site for the General Practice Residency (GPR) Program for both training and delivery of advanced general dental services by residents and attending dental faculty,” said Dr. Robert Nieman, interim director of the GPR program. The Clinic is located in room D-258 at the School of Dentistry, on the second floor of the UW Magnuson Health Sciences Center.

In addition to being the home of the GPR program, the Clinic has historically served the oral health needs of medically complex patients, including people who have cancer, compromised immune systems or are awaiting transplants. The renamed Clinic will continue in this role, but the new name more accurately describes the true scope of its activities, Dr. Evans said. For more information about the clinic, call 206-543-1511 or go online to http://www.dental.washington.edu/departments/oral-surgery/advancedgeneral-dentistry.html.

Dentists - Do you want an Expanded Function Dental Auxiliary to Increase Production? This is your chance to fund one of your Dental Assistants to become an EFDA to enhance your prac�ce!

In just six months, Sea�le Central Community College (SCCC) can train your dental assistant to become an EFDA. EFDA’s can place and contour llings so they are highly valued in the dental office.  Fund one of your Dental Assistants to become an EFDA. For more informa�on go to: www.efdacentral.net or contact: Jolene Hartne� at 206‐934‐6922 or efda@sea�lecolleges.edu. The EFDA Program at SCCC takes two quarters and has been customized for working dental assistants. Graduates take the Dental Assis�ng Na�onal Board (WARE) Exam and the Western Regional Examining Board Restora�ve (WREB) Exam to receive a license to prac�ce.

EMPLOYMENT SERVICES SERVING WASHINGTON SINCE 1981 24/7 CUSTOMER SUPPORT WE OFFER TWO PAYROLL OPTIONS We will pay the temporary employee and all federal taxes, unemployment, worker’s compensation, social security and be responsible for all unemployment and workmen’s compensation claims OR You can pay the temporary employee directly

We are accepting applications for dentists, dental hygienists, dental assistants and front office personnel for temporary and permanent placement

phone: 206-767-4851 • fax: 206-764-0928 email: dp@dentalp.com • www.dentalp.com

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Peer to Peer: Members Share Their Views on Work-Life Balance Ever wonder how other dentists handle staff issues, managing stress or family and work-life balance? Dr. Karen Sakuma has interviewed a selection of member dentists to share their coping mechanisms and strategies to keep both their business and their personal lives under control. Recently, Dr. Sakuma asked this question: What are your best words of wisdom, helpful tips and/or anecdotal experience when hiring, retraining and letting go of staff? Four members dentists agreed to share their perspectives on this complex part of running a dental practice. We asked a cross section of dentists - new to the area, young, seasoned practitioners. All bring valuable insight and wisdom to our profession.

Dr. Helen Youm, endodontist and new to Bellevue, says to “… treat staff with respect and kindness, and value their personal well-being. Emphasize “team” and make sure you and they understand that they ’work with you‘ and not ’for’ you.” Dr. Lance Timmerman is a new member who practices in Tukwila. He relates ”… as soon as you Dr. Helen Youm think you need to fire someone, you are two weeks too late. Do it soon and don’t let them stay for two weeks.”

Dr. Barbara Billings, a SKCDS Life Member who practices in Federal Way, suggests “… have a GREAT retirement plan that appeals to top quality candidates. Trust your team to do their best, and try to match their job description with their strengths.”

Did you know that Paul Schaber, human resource consultant, is available to our members with expertise and advice on issues of around hiring, firing and employee supervision? With years of experience in medical and dental HR, Mr. Schaber can provide clarification on touchy issues around employee management. He can be reached at paul@themanagementtrust.com or 425-776-3005.

Dr. Marc Hayashi, a recent University of Pennsylvania graduate who practices with his father in Kent, added: “It’s a really good idea to actually contact all references that are listed by the applicant. You will gain a much better insight as to what the applicant is like on a daily basis. Also, it’s helpful if you can have an employee or office manual that outlines exactly what is expected of them. You can hopefully avoid a lot of headaches and conflicts with such a manual.”

What are your thoughts? Have a tip or a suggestion that you would like to share with the membership? We would love to have you join in the dialogue. Dr. Sakuma will present other questions to our panel of dentists in our Fall issue of the Quarterly. The topic: How do you recruit and retain patients? Please share your insight and comments to skcds@skcds.com. We are looking forward to hearing from you and sharing ideas.

SLEEP APNEA & SNORING ROBERT L HORCHOVER DDS PS Retired from General Practice, Sleep Apnea & Snoring is our only focus

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206 770 0260

W W W .SLEEP911.C O M Our additional diagnostics offer objective assessment of upper respiratory airway providing your patients a better opportunity for managing sleep apnea & snoring

Thinking about a new office? How will you find the best location and space? Leasing conditions keep changing. Do you know today’s market rates or what concessions to ask for? A broker on your side eliminates conflict of interest and costs you nothing. For a free consultation contact:

Charles Spaeth Managing Broker Yates, Wood & MacDonald, Inc.

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American Academy of Sleep Medicine Academy of Dental Sleep Medicine

2012 SKCDS SUMMER QUARTERLY l 9


Boot Camp 2012: Getting Your Practice in Shape The AGC Building on Lake Union was the venue for 19 “recruits” new to the trenches of practice management. It was the 2nd annual SKCDS Boot Camp for New Dentists. Short presentations were given by seven local experts guiding young dentists through the process of starting and developing the business side of their practice. The half-day seminar was co-sponsored by the ADA and the UW SOD Alumni Association, along with SKCDS, and was offered at no charge to participants. Attendees began the day bright and early with a continental breakfast, socializing and opening remarks from Dr. Amrit Burn, Chair of the New Dentist Committee. Our slate of speakers began with Ann Durham, principal of Durham & Associates, PLLC. Ms. Durham began the seminar speaking on contracts and being a business-savvy dentist when it comes to buying a practice or leasing a space. She advised participants about loopholes to watch for and contract language that could be potentially troublesome. Our second presenter was Maggie Boyle, CPA, and partner in The Dental Group, LLC, an accounting firm specializing in dental practice finances and accounting. Ms. Boyle spoke about being proactive with your practice finances through

Robert Brown, owner of MaxTechnologies, speaks on computer systems.

planning, analysis of what you want to achieve and being aware of basic accounting principles. Ms. Boyle was followed by George Constantine, owner of Constantine Builders, Inc. Mr. Constantine addressed issues around building out a new space or remodeling an old one. He directed the participants toward finding a thorough team who can work quickly with the dentists’ needs in mind. After a brief coffee break, participants reconvened to hear Jim Conner of Burkhart Dental speak on purchasing dental equipment for your practice. Mr. Conner detailed what a dentist should expect from their equipment supplier and how installing the equipment is an integral part of the building plan.

Boot Camp speakers Maggie Boyle, Ann Durham, and Robert Brown.

Next came Lori Saleba, owner and interior designer with Office Wraps, Inc. Ms. Saleba and her staff have worked with numerous dental offices creating ambiance and functionality. She spoke about the important design goals of function, aesthetics, individuality and economy. Next page >>

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“This course exceeded my expectations, and was very worthwhile!” – Boot Camp participant

Our fifth presenter was Robert Brown, owner of MaxTechnologies, a full-service provider of computer systems and all related electronics such as security cameras, audio systems, data storage and more. Mr. Brown discussed how the installation of the computer and all peripherals is essential in the building and space planning phase of creating an office.

Following the presentations, there was about 45 minutes of Q & A for the attendees. During lunch the participants had more time to speak one-on-one with all the presenters, as well as socialializing and meeting other new dentists. In addition to food and access to great presenters, participants earned four CDE credits and received various materials summarizing the information. Dr. Jeng Shen even won a Starbucks’s gift card in the prize drawing!

Finally, once the computers are running and the office is functioning, you need to start promoting your business. Ian McNickle from WEO Media was the final presenter of the day. He spoke about marketing your practice in the internet age by using social media to its fullest potential.

SKCDS anticipates hosting the 3rd annual Boot Camp in 2013. Dates are still in the planning stage.

Jae H. Ahn, D.D.S. has acquired the practice of Gene F. Long, D.D.S. - Seattle, Washington Pamela J. Butterfield, D.D.S.

Call 1-800-232-3826 or visit us online at www.aftco.net for a free practice appraisal, a $2,500 value!

has acquired the practice from the estate of

James L. Gill, D.D.S. - Kent, Washington AFTCO is pleased to have represented all parties in these transactions.

AFTCO is the oldest and largest dental practice transition consulting firm in the United States. AFTCO assists dentists with associateships, purchasing and selling of practices, and retirement plans. We are there to serve you through all stages of your career.

Helping dentists buy & sell practices for over 40 years. 2012 SKCDS SUMMER QUARTERLY l 11


MEMBER PROFILE

Dr. Theresa Cheng 12 l 2012 SKCDS SUMMER QUARTERLY


My name: Theresa Cheng Childhood ambition: Nothing specific, but I liked math and science and was good at it. I did know it’s definitely not going to be history!

Fondest memory: My boys, so excited and running to greet me everyday when I came home from work, back in the day. They’d be so embarrassed to hear me say that!

What was your first LP or CD? I was the fifth of six kids so I grew up with the music of my older siblings and couldn’t get close to our record player for years. Then it’s off to starving college life for years. Finally, my first CD purchase was Billy Joel’s The Stranger.

Wildest dream: To sprint 100 meter in 10 seconds. Proudest moment: My heavy smoker patient credits me for helping her quit smoking when she herself didn’t have the confidence to do it.

Biggest challenge: The wedge that dental insurance puts between my patients and us dentists. Some of the rules make it challenging to practice ethical dentistry.

First job: Teaching English as a second language Last purchase: A nice projector Favorite movie: Gregory Peck’s 12 Angry Men What is your idea of perfect happiness? Good health, good balance of home/ work and yummy “nasi lemak” (a Malaysian dish)! Which historical figure do you most identify with? Sun Yat Sen Which living person do you most admire? My 89 yr old mother. What is your greatest extravagance? An Ostrich purse! What is your favorite journey? Scuba diving at Kapalai/Sipadan Which talent would you most like to have? To sing like Susan Boyle If you could choose what to come back as, what would it be? Anything would be interesting, except as a mouse or rat!

What is your most treasured possession? Hand-made cards from my sons for all my birthdays and

Mother’s Days (They still do that…….the best cards!) My nightguard is pretty close behind.

What do you most value in your friends? Honesty Who is your favorite hero of fiction? Anne of Green Gables Who are your heroes in real life? Wangari Maathai and Mother Teresa

2012 SKCDS SUMMER QUARTERLY l 13


Do you have the tools to deal with patients’ financial aches and pains? By Jacki Pederson As a dentist, you’re always prepared to expect the unexpected. A patient calls complaining about a toothache but you won’t know exactly what you’re dealing with until he’s in the chair with his mouth wide open. Is it decay that’s causing the pain? An abscess? Gum disease? A cracked tooth? The good news for all of us, of course, is that dentists have the knowledge, the experience and the tools to diagnose and treat toothaches and other oral health issues. It’s what they are trained to do and what their staff is trained to assist with. That’s the story in the operatories, anyway. But what about the tools required to handle the other unexpected situations that crop up in a dental practice? For example: • One of your patients is going through a bankruptcy and owes your practice a substantial amount of money. How do you handle this situation so you don’t end up writing off thousands of dollars? • A patient turns 18, reaching the age of majority. If the 18-year-old’s

parents are no longer legally responsible for his bills, how do you financially safeguard your practice? • Then there are divorced families, custody battles and step-parent involvement. How should you minimize payment conflicts in these sometimes delicate situations? Next page >>

The CPA with ... The Dental Touch Are you looking for a CPA who gives you straight answers to your questions? Are you dissatisfied with generic, sugar-coated responses? (Remember, sugar is not only harmful to your teeth, it is harmful to your profits.) Are you looking for a CPA who actually has practiced dentistry? (15 years) Are you looking for a CPA who is a member of SKCDS, WSDA and ADA? If your answer is yes, then call:

Dennis H. Kuplan, DDS Certified Public Accountant

(425) 603-0370 16475 S.E. 47th Place ∙ Bellevue, WA 98006 · Financial Statements · Comprehensive Business Management

· Tax Preparation · Tax Planning

References upon request

14 l 2012 SKCDS SUMMER QUARTERLY

· Comprehensive Software Training and Consultation · Human Resources Administration


Chances are you hired the people in your front office because they’re bright, personable and skilled at dealing with insurance companies, billing, scheduling appointments, handling the phones, greeting patients and calling to check on patients after procedures. Although your multi-faceted front office staff is exceptional, do they have the time or the tools to deal with the unexpected – the blips in the accounts receivables process that occur with slow or non-paying patients, bankruptcies, divorce and the like? You may be losing money unknowingly, simply by not requiring the appropriate information from your patients prior to extending credit. If your office has been billing patients for several months with no response you are potentially losing money on staff costs, statement costs and postage. Does it make sense to have your front office team spinning their wheels trying to figure it all out when you need them to focus on production? There is a better way As a dentist, your focus is on your patients’ oral health -- not their financial health. You may not have a clue that the patient sitting in your chair awaiting an expensive procedure is 60 days or more behind on his bill. Or that his insurance has just run out. Or that he’s 18-years-old now, doesn’t have a job – and your office doesn’t have the proper forms signed from his parents accepting responsibility for his bills.

If you’re like a lot of dentists you may not be aware of how many accounts you have 60, 90 or 120 days overdue... In fact, if you’re like a lot of dentists you may not be aware of how many accounts you have 60, 90, or 120 days overdue. Did you realize that the older a bill gets, the less likely it will be collected at all? Which is why hiring professionals with the knowledge, the experience and the tools to collect your past due accounts simply makes sense in today’s economic climate. Your team can focus on production – using the skills that make them so valuable to your practice – and collections professionals can focus on helping you improve your bottom line. Treating patients respectfully We can’t speak for how every collections agency out there operates but healthcare professionals have been trusting Physicians & Dentists Credit Next page >>

A NEW OFFERING FROM WASHINGTON DENTISTS’ INSURANCE AGENCY

HOW SECURE do you think your data is? Are you protected from the full breadth of healthcare-related data security breach exposures? Even if you use state-of-the-art data controls, your assets could still be at risk. That’s why WDIA is offering a CyberSecurity for dental practices insurance policy. The ever-changing technology your practice relies upon to conduct its business can also significantly increase its vulnerability to cyber security threats — any of which can result in significant out-of-pocket expenses and costs to your reputation that can devastate your practice’s bottom line. Why your practice needs cyber security insurance • Healthcare organizations are commonly targeted • The culprit is often someone close to your organization • The perpetrator could live halfway around the globe • The data breach can result from a simple mistake • Incidents of cyber fraud are steadily increasing Be prepared for these cyber risks: • Identity theft resulting from lost or stolen personal health information (PHI), Social Security numbers or credit card, driver’s license or financial information. • Hacker theft of confidential information • Lawsuits stemming from a security failure, alleged technology error, or an omission that results in damages to your patients • Costs related to privacy notification, crisis management and disaster recovery

Sole broker for:

CyberSecurity for dental practices 800-282-9342 · www.wdiains.com 2012 SKCDS SUMMER QUARTERLY l 15


Financial aches and pains continued... Bureau (P&D) to collect on their past due accounts since 1934. P & D has collected on thousands of healthcare accounts in the state of Washington. There are a number of reasons why healthcare professionals rely on P&D: • P&D was created by doctors, for doctors. We are owned by the Seattle-King County Dental Society and also endorsed by the Washington State Dental Association.







            ♦           

• We only handle healthcare collections, and because of that, we “get” the doctor-patient relationship and the importance of treating patients respectfully throughout the collections process. Like you, we are governed by HIPAA. • We become part of your team, advising your front office staff on “best practices” to safeguard your practice against collections problems before they happen. • We have tools at our disposal that your dental staff does not have access to; for instance credit reporting, patient account linking and in-house legal services. And finally, with P&D there are never membership, set-up or listing fees. It’s that simple! You gain the opportunity to reduce the amount of bad debt you write off and keep your staff focused on the things they do best…building your practice and production. Jacki Pederson is President and CEO of Physicians & Dentists Credit Bureau, a trusted collections partner to thousands of Northwest healthcare practitioners for more than 77 years. Jacki, along with longtime Client Account Managers Jeannie VanVleet and Rochelle Jacques, are always happy to answer questions you may have about the collections process. Call 206624-1661 or email info@physndent.com.

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Building Inspiring Dental Environments. On Budget. On Schedule. Dental clinic construction requires extreme attention to detail and a contractor with an eye for excellence. For over 20 years, DP Incorporated has worked with area dentists to achieve this while delivering first-rate clinics that are both welcoming and exciting to work in. Whether your project is new construction or clinic rejuvenation, we handle all the details so you can focus on the opportunities your new space will provide. From pre-lease budget pricing to the final punch list, we build value and trust every step of the way. Visit our website at www.dpinc.net to see some of our success stories and find out more about all that DP Incorporated can offer you.

Providing comprehensive construction services to the Puget Sound dental community since 1988. 19909 Ballinger Way NE • Seattle, WA 98155 • 206.361.2989 • www.dpinc.net 16 l 2012 SKCDS SUMMER QUARTERLY


For patients who are hard on their teeth, here’s a solution that’s hard not to love.

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Because frequent grinding or clenching of teeth puts extreme wear on dental work, your bruxing patients need a strong solution. DSmz™ Monolithic Zirconia delivers, with an all-zirconia structure that provides material durability for heavy bruxers... without the cost of typical PFM restorations, or the obvious look of full-cast metal alloys. • Precision Milled – CAD/CAM milling technology delivers consistent quality • Monolithic Structure – Provides solid, chip-resistant results with no porcelain overlay Indications DSmz™ is ideally suited for patients who: • Require a posterior crown • Desire a more natural tooth-colored restoration, instead of full cast alloy or posterior metal occlusal PFMs • Lack adequate preparation space for a PFM crown • Have broken a PFM crown due to clenching or grinding From Your DSG Center of Excellence DSmz™ is available exclusively through DSG Harrison & Cardillo Dental Laboratory. DSG is a North American Network of more than 26 full-service dental labs with best-in-class capabilities. Every DSG lab is staffed with expert technical and service professionals, to ensure customers receive unsurpassed quality.

Find out how DSG can help you build your practice – schedule a Lunch and Learn today.

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Contact Brooke Thacker at 206-271-5028

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2012 SKCDS SUMMER QUARTERLY l 17


A Big Welcome to Our Newest Society Members May

June

Dr. Jessica Adams Dr. Patricia Huang Dr. Gurpreet Khurana Dr. Vikram Likhari Dr. Megan Mulligan Dr. Lance Timmerman Dr. Hyuk Yang

Dr. Donald Chi Dr. Isra Elrayah Dr. Robert Humble Dr. Sam Kim Dr. Michael Martin Dr. Khanhlam Phan Dr. Clara Song

Members of SKCDS are encouraged to invite nonmember dentists who are practicing in King County to join the Dental Society. A quick call to the WSDA Office at 206-448-1914 is all that is needed for them to apply for membership at all three levels: SeattleKing County Dental Society, Washington State Dental Association and the American Dental Association.

Coming soon to the SKCDS website: Analysis of the City of Seattle’s upcoming Paid Sick & Safe Leave Ordinance... effective September 1, 2012. Watch for details at www.skcds.org

Who says one local bank can’t make a difference? At Pacific Continental Bank, we’re not waiting for an economic miracle. We’re creating our own financial stimulus, one business loan at a time. Call us today to discuss your lending needs.

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18 l 2012 SKCDS SUMMER QUARTERLY

Seattle King County Dental Society ~ 7.5 x 4.75 ~ BW ~Spring 2012 Insertion ~ Lending Ad: SEATTLE Market


Americans Score a “D” on Oral Health Quiz; ADA Launches New Website CHICAGO, June 25, 2012 (GLOBE NEWSWIRE) -- Americans need a serious brush up when it comes to their oral health, according to a new survey from the American Dental Association (ADA) released today during the ADA’s launch of a robust new website, MouthHealthy.org, dedicated to improving the oral health of all Americans. On average, Americans scored a “D” on a series of true or false questions ranging from how often to brush and what age should a child first visit a dentist to what causes cavities. “The results of the survey were quite shocking and really show how important it is for people to become more involved in their own oral health,” said William R. Calnon, D.D.S., ADA president and a practicing dentist in Rochester, N.Y. According to the National Institute of Dental and Craniofacial Research (NIDCR), nine out of 10 adults ages 20-64 have had cavities in their permanent teeth. Dental disease is the most common chronic disease suffered by children. According to the NIDCR, nearly half of children ages 2-11 years old have had cavities in their baby teeth. Dr. Calnon said the ADA’s new consumer website, www.MouthHealthy.org, features the dental IQ quiz so people can test their own knowledge. The website is filled with prevention, care and treatment information to help people get and stay mouth healthy for life. The website launched June 25. “Oral health is a critical part of overall health,” Dr. Calnon stressed. “MouthHealthy.org will help empower people to take charge of their oral health.” Some highlights from the national ADA survey conducted in May with a nationally representative sample of nearly 1,500 adults (with a margin of error of + or -- 2.6 points) include: • 90 percent of respondents mistakenly believe they should brush

ADA’s ‘Find-A-Dentist’ Feature Enhanced As the press announcement on this page explains, the ADA will be launching a new consumer-oriented website called MouthHealthy.org. As a part of that change, their Find-a-Dentist feature—which receives almost 20,000 unique searches each month—will be more prominent. There will be a more enhanced view of your credentials and contact information—including social media. This is a great opportunity for you to build visibility for your practice—so make sure your profile is up-to-date. You can include a photo, a brief description of your practice, languages spoken, and social media links. Go to www.ada.org/memberprofile to customize the information you want to share with potential patients. This is a free membership benefit!

after every meal when the ADA recommends only twice a day; • 65 percent of respondents mistakenly believe they should only replace their toothbrush twice a year when the ADA recommends every three months; • 75 percent of respondents don’t know what age to take their child to the dentist for the first time when the ADA recommends within six months after the first tooth appears or no later than the child’s first birthday; • 81 percent of respondents mistakenly think that sugar causes cavities when it’s really germs in the mouth that feed on sugar and then produce acid which attacks tooth enamel. In time, these acid attacks weaken the enamel to the point where a cavity forms; and • 59 percent of respondents don’t realize cavity-causing germs can be passed from person to person MouthHealthy.org, answers these and many other questions. The new website is organized by life stages and includes information on the top 10 dental symptoms, how to handle dental emergencies, A-Z oral health topics and how to find an ADA member dentist and ADA Seal of Acceptance products. Also included are videos, tips and activities and a special section to make oral health care fun for children. MouthHealthy.org’s children’s section will also feature the bilingual videos of beloved characters Elmo and Abby Caddaby spreading oral health messages through Sesame Workshop’s latest oral health outreach effort called . “MouthHealthy.org is an extremely valuable resource for individuals and families to take care of their oral health,” Dr. Calnon stated. “Simple, yet important measures such as eating a balanced diet, brushing twice a day with fluoride toothpaste, flossing daily and visiting a dentist regularly can help prevent dental disease. Teeth are meant to last a lifetime, and the ADA wants Americans to be mouth healthy for life.” 2012 SKCDS SUMMER QUARTERLY l 19


TECH CORNER Reputation Management for Dentists By Ian McNickle, WEO Media If you are like most dentists, then odds are good at some point in your career you will have to deal with someone posting negative comments about you and/or your practice on the internet. It’s just the nature of being a service provider, and it happens more often than you might think. Experience tells us there are a variety of reasons this happens to dentists. Some common reasons include: 1) The patient was delinquent on paying their bills, was turned over to collections and became disgruntled enough to write a bogus or exaggerated post. 2) An employee was let go and was unhappy about the termination and went online to write negative comments (usually under an anonymous or made up name). 3) The patient did not have a pleasant experience so they went online to flame the dentist with a bad review.

In general, we recommend several strategies:

Strategy 1 – Build Your Online Reviews

Regardless of the reason for the bad review(s), nobody likes having negative things written about them on the internet.

1) Make a list of all directories that have a listing for your practice (Manta, Health Grades, etc).

So how can you tell what is out there on the internet… and what should you do about it?

2) Make a list of general review sites (Google+ Local page, Yahoo, etc).

To begin, go to Google, Yahoo, and Bing search engines and type your name in the search bar. Run the search and read through the search results to see what is out there. Ideally, your website should be the first search result. If it is not, you may have a Search Engine Optimization (SEO) issue with your website. In addition to your website listing, you’ll probably see directory listings and other websites featuring your name and/or contact info. Hopefully there are no negative comments, but if there are we’ll give you some strategies to deal with them. 20 l 2012 SKCDS SUMMER QUARTERLY

3) Go through each listing for your practice and make sure all your information is current and updated. 4) Implement a system to encourage patients to write reviews on each of these sites. One effective strategy is to create short instruction handouts to be given to each patient after an appointment. You can have separate handouts for each review site you’d like reviews on. Simply have your front office personnel hand out instruction cards after the appointment is over. Then take turns rotating through the cards so you get a nice distribution of reviews across multiple review sites. Next page >>


Strategy 2 – Set Alerts for Your Name There are a number of different approaches here. Most search engines offer the ability to set alerts for specific phrases or words. Go to each search engine you’d like to set an alert for and set up an alert for your name and/ or your practice name. Each search engine has a different process for doing this but you can generally search for the process by typing a question into the browser such as “how to set up an alert on Google”.

By proactively adding content online through the proper methods and channels your dental practice will be able to push bad reviews off the radar, improve your online reputation, increase your internet presence and drive up your website search engine rankings. To learn more about this topic, please contact Ian McNickle at WEO Media: ian@weomedia.com or (888) 246-6906, and mention that you are a SKCDS member.

Strategy 3 – Integrate SEO & Reputation Management Efforts The online world is constantly changing and evolving. Three primary areas of online activity are beginning to overlap more and more: SEO, Social Media and Reputation Management. All three areas deal with adding specific, valuable content to the internet. Each area is quite different in the approach and process to doing so, but when all these activities are strategically integrated the results can be very powerful for your dental practice.

Register for our upcoming webinar in September, free to SKCDS members:

Reputation Management for Dentists Date: Sept. 5, 2012 Time: 5:30 p.m. PST To register: go to www.weodental.com and click on the link under ‘Upcoming Webinars.’

Are there technology topics you’d like to know more about? Email krystal@skcds.com with your idea.

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EXPOSURES Nostalgia By Al Munk DDS There seems to be a wave of nostalgia coursing through the minds of those with whom I came of age. I speak of the era of the nineteensixties and seventies, a great time to be away from parental influence and toward the freedom to choose. I personally do not dwell on this era too often in my thoughts but recent events have caused certain memories to come to the forefront. A group of “kids” I used to know have organized a couple of gettogethers comprised of my 1970 Lander Hall dorm bunch. These kids are now in their sixties themselves, qualifying them for junior geezer status. Some of you may be aware of Lander Hall, an ugly beige block of a building on Campus Parkway at the UW. It is about to be torn down and replaced by something much more homey and modern. It suited us just fine in 1970. When you are a 20-year-old male you do not care where you live—only that you get enough to eat and that there are an abundance of cute girls in the vicinity. I enjoyed my time as an undergraduate at the UW, and I suppose it will be interesting and fun to see who all these kids have become. In 1970, most were pretty footloose and fancy free. Though, as always, life had a way of getting in the way of our fun. Have a little too much fun in 1970 so that you flunked out of school and you were off to Vietnam which was even less popular than the two wars we are currently engaged in. Dental school kept its draft deferment status for some reason. In fact, I received my acceptance to dental school and my draft notice during the same week—almost exactly 42 years ago to this day. A fairly momentous week for a twenty year old kid from Aberdeen. But getting back to nostalgia, how are we going to view each other and how do we react when we see those to whom we were quite close 42 years ago and have not seen since? 1970 was a year of hugs. Peace, love and hugs. I guess we will hug a lot. When I look in the mirror, I don’t particularly notice any changes in my body as they happen gradually enough so they don’t give us a heart attack. Though yesterday as I was shaving, I began to think I was starting to look like my father, a thought that amazingly has never occurred to me before. We think of our father as an infinitely older man and cannot imagine inhabiting the 22 l 2012 SKCDS SUMMER QUARTERLY

same geologic space as him. But face it, it happens. It is happening. At this reunion, I will be looking at sixty-something women who will be showing me pictures of their grandkids on their iPhones. Will I instead in my imagination, be picturing them as twenty year-olds in bell-bottom jeans swinging their long hair with the Grateful Dead playing in the background? After they show me their grandkids, they will then bring me aside, away from the others, lean in to quietly whisper in my ear—the words that they didn’t have the courage to tell me in 1970 as I begin to forget I am a happily married man, only to hear “Al, do you think I should get an implant or a bridge to replace this molar”? Not a Viagra moment but instead a Metamucil Moment. Imagining what girls might think of you is much more rewarding than actual life. In fact fantasy is nearly always better than real life I have found. This 1970 group was a lively bunch. We no doubt spoiled things for all future generations of college students. The grownups of that day in charge of University rules and regulations took a few years off and basically let us do whatever we wanted to do. STD’s were of the treatable variety at the time and the worst thing that happened at my dorm was an epidemic of crabs. Several students got money from their parents for school but they weren’t in school. They just spent it on partying. There was no doubt a day of reckoning in these cases. Though I had plenty of fun, I was not so flippant as I paid my own way through school which was still possible at the time. I definitely got my money’s worth and am kinda looking forward to seeing those 1970 girls. That’s all for now from Ballard.


CLASSIFIEDS DENTAL PROVIDERS

FOR SALE

VACATION PROPERTY

MOBILE I.V. SEDATION Have your patients treated in your office with safe and proven techniques. Set your practice apart from others. Attract new patients. Increase quality referrals. Neil E. Bergstrom DDS 360--825-6596.

NATURE PRINTS Put nature’s healing power to work in your dental office with eye-pleasing photography featuring some of the world’s most breathtaking sights including many right here in Washington State. Visit www.LivingWilderness.com/office

WASHOUGAL RIVER This .51 acre site has 204 feet of waterfront on the scenic Washougal River about an hour east of Vancouver, WA in Skamania County. The Washougal is a steelheader’s dream and also popular with kayakers. The heavily forested site is part flat, part slope and does contain a building; a rustic cabin that is likely a tear-down, although a remodel is also a possibility. The seller is motivated. bcp3710@msn.com

THE GUEST DENTIST Vacation, Personal Time Off, Maternity and Emergency Leave... Experienced, Patient, and Dental-Team oriented. Joe Schneider, DDS, FAGD. 206-878-1237.

Your ad could be here!

ATTENTION BOOK COLLECTORS Memorial Edition in 14 volumes of Elbert Hubbard’s Little Journeys to the Homes of the Great, copyright 1916 by Roycrofters. Set includes Guide Book. Free delivery to any dental office in King County. $300. statestreetsales@gmail.com

ALASKA LAKEFRONT This beautiful and remote 5 acre parcel is located halfway between Anchorage and Fairbanks; it is accessible via float plane or hiking in on what’s called the 9 Mile Creek Trail. The property includes 400 feet of waterfront. There are no buildings on it. The seller is motivated. bcp3710@msn.com

ABOUT SKCDS CLASSIFIED ADVERTISING SKCDS members:

Non-members:

$50 for the first 25 words;

$75 for the first 25 words;

$1 for each additional word.

$1 for each additional word.

To Request a Classified Submission Form Please Email liz@statestreetwriting.com •

NO ADS WILL BE ACCEPTED BY PHONE.

YOU WILL BE BILLED UPON PUBLICATION.

CHECKS ONLY, NO CREDIT CARDS.

2012 SKCDS SUMMER QUARTERLY l 23


SEATTLE-KING COUNTY DENTAL SOCIETY 2201 Sixth Avenue, Suite 1210, Seattle, WA 98121-1831 CHANGE SERVICE REQUESTED

PRSRT STD U.S. POSTAGE PAID SEATTLE, WA PERMIT No. 9389


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