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Implants
Zirconia Hybrid
Titanium Bars
Crown & Bridge
Zirconia
e.max
Metals
Removables
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Valplast
For Patients
Smile Shapers
Contacts Us
Meet Us
Home
Doctors Page
Schedule a Pickup
Crown Calendars
Digital Submissions
Order Analogs
Order Impression Material
Dr. Preferences
Case Feedback
Schedule Custom Shade
Implants and CAD
Send a File
Implants
Zirconia Hybrid
Titanium Bars
Crown & Bridge
Zirconia
e.max
Metals
Removables
PALA Digital Instructions
Valplast
For Patients
Smile Shapers
Contacts Us
Meet Us
Custom Shade Scheduling
We would be happy to call your patient to schedule a custom shade...
Just fill out the form and we will contact them right away. We will open a case and expect an impression. If you need to schedule a pick-up, please do so from the
Dr's Resource
Page
*
Indicates required field
Dr/ Practice/ License Number
*
Patient Name
*
First
Last
Patient Phone Number
*
Tooth Number/ Restoration Type/ Stump Shade
*
Additional Comments
*
Submit
