Enrollment Forms

The power is in our numbers!  LVI 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

Ask for Reese or Noah

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Call Us Toll Free
1-877-766-7374

Ask for Reese or Noah

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