Enrollment Forms

The power is in our numbers!  LVI-trained Dentists working together are having an impact on what people think when they consider cosmetic dentistry.  Complete this simple form and fax it to:  800-276-7149

 

Print the US Practice Enrollment Form 

 

Print the International Practice Enrollment Form - for practices OUTSIDE the US

 

 

B2D Marketing
12360 Lake City Way NE, Suite 500
Seattle, WA 98125

FAX: 800-276-7149

If you have Enrollment questions call us: 1-877-766-7374

 

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1-877-766-7374

 

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