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Stores, resellers, exporters, dental and medical professionals, and any other qualified business can apply for a free wholesale account. Please fill out the following form and a representative will assist you with information and pricing.


Please note, wholesale pricing is limited to businesses with a valid license - no consumers please.

   Full Name:
*  Email Address:
   Company Name:
   Phone Number:
   Order Number:
   RMA Number:
*  Details:
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