1.800.827.4638
Fill the form below to receive a $50 coupon from Shofu. Once you receive the coupon send along with your Ceramage case to your lab.
Contact Shofu for a Lab near you. 1-800-827-4638 ext.222 with Bobbie
Name:
Practice Name:
Address
City
State
Zip Code:
Email Address:
Phone(area code first):
Your Specialty
GP
Endodontics
Oral and Maxillofacial Pathology
Oral and Maxillofacial Radiology
Oral and Maxillofacial Surgery
Orthodontics and Dentofacial Orthopedics
Pediatric Dentistry
Periodontics
Prosthodontics
What is your approximate Veneers production per month (units):
1 to 10
11 to 30
31 and above
What is your approximate PFM production per month (units):
1 to 10
11 to 30
31 and above
What is your approximate Zirconia copings production per month (units):
1 to 10
11 to 30
31 and above
What is your approximate Inlay/Onlay production per month (units):
1 to 10
11 to 30
31 and above
What is your approximate Bridge production per month (units):
1 to 10
11 to 30
31 and above
What is your approximate All Ceramic Crown production per month (units):
1 to 10
11 to 30
31 and above
What is your approximate Implant production per month (units):
1 to 10
11 to 30
31 and above
What is your primary Metal Porcelain?
Shofu - Halo
Ivoclair - Empress
Dentsply - Ceramco
Noritake - Art
Other - please describe below
Describe here if answer above was other primary Metal Porcelain
Do you use an Indirect Composite?
Shofu - Ceramage
Kerr - BelleGlass
Dentsply - Cristobal
GC - Gradia
3M - Symphony
none
List your LAB of choice for PFM, Inlay/Onlay, Implants:
1.800.827.4638
