Request Service

Request technical service

We realize that when your dental equipment breaks down, it can shut an office down or cause major inconveniences to your production or schedule. In order for us to assist you with the best possible service, please fill out the form below. You may also call us at:

(866) 683 - 2572

Please complete the form below

Office Name

Name of Contact to Call

First Name

Last Name

Phone

(###)

###

####

Item Needs Repair

Description of Problem

Street Address

City

State

Zip Code