Starter Kit Request

Ready to start sending out your cases? You’ve come to the right place! Please fill out the request form and we’ll contact you to confirm your information.

Starter Kit Contents:

      • Two Dental Case Boxes
      • Two Shipping Labels
      • Two Lab Forms
      • Product Catalog
      • Product Postcards with Offers
      • Fee Schedule

If you don’t get a confirmation, please contact us right away at 800-440-0314 and one will be sent promptly.

Your Name (required)

Your Email (required)

Phone Number


Address (required)

Suite/Apartment Number

City (required)

State (required)

Zip Code (required)

How did you hear about us?


Got Questions?

Call Now! 800-440-0314

Hours of Operation:
Monday-Friday • 8am – 5pm PST