This page allows you to register as a dental / health professional on our website. If you are not a medical professional, nor do you represent one, you cannot register on this page.

Number and Street Name of your Practice / Clinic
Suite / Unit Number (optional)

Our customers are always eager to speak with local dentists before using the product. They may want to obtain more info, see a sample, or even have you order it for them directly so that their insurance can be billed (this is up to you). Would you like for us to add you to our list of participating doctors? You can click here to see where your information will appear. You carry no obligations and can opt out at any time.