DOCTOR'S PREFERENCE CHART.Instructions: Please fill in the information fields below. Once you have completed this
page, CLICK the "Submit Form" icon to send your inquiry. If you need to
change the form or start over, simply CLICK the "Reset" icon.
Name:
DDS:
DMD:
Practice Name:
Street Address:
City:
State:
Zip Code:
Phone:
Email:
Dental Specialty:
Year Graduated:
Please send me a copy of the THAYER DENTAL resource folder.
Please send me information about:
3M Paradigm™ composite inlays/onlays
Atlantis® & Encode ™ Abutments
Architech PSR Bars
Bio-Lucent® Feldspathic Veneers
Captek® reinforced gold crowns and bridges
Cercon® zirconia crowns and bridges
Clear Advantage® occlusal splints
ClearMatch® shade matching system
Cristobal+® composite inlays and onlays
Implant Unit Pricing
IPS Empress® Esthetic / IPS Eris® all-ceramic
IPS Empress CAD® anterior crowns, inlays, onlays & veneers
IPS e.max CAD® all-ceramic crown
IPS e.max Zirconia® crowns & bridges
SafeSport℠ custom mouthguards
Success® full & partial dentures
TCS® flexible partials
Fed-Ex® pre-paid air bills
Prescription pads
Case boxes and infection control "Safe-T-Bags"
Please list any comments or questions in the dialogue box below. We
appreciate your input, and will respond to all submissions.
