Resources Request Form
I would like to order the following for my
agency / organization:
Enter Quantities Desired. Subject to Availability. While we will make our best effort to fulfill your request, we cannot guarantee fulfillment.
Dental Kits can be ordered in quantities of 1-10, or a bag of 25, or a box of 50. No more than 1 box per dental kit type per month.
Contact your Dental Health Care Specialist if you have any questions)
Thank you for helping your clients maintain good oral health.
Your Dental Healthcare Specialist will contact you regarding your order.