Toll-free: (800) 359-3206
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PROFESSIONAL ORDER FORM

All Perio-Aid orders include patient instruction sheets and one box of toothpicks.

 

Product Name

Bulk - Perio-Aid #2 (double ended)

Bulk - Perio-Aid #3 (single ended)

Packaged Individually in Vinyl Case- Perio-Aid #2 (double ended)

Packaged Individually in Vinyl Case- Perio-Aid #3 (single ended)

Toothpicks - Diamond Brand Square Center Round Tip 250 CT/BOX - 48 BOXES/CASE

Interdental Brushes - Straight

Interdental Brushes - Tapered

Marquis X2 Color Coded Perio Probe(Hexagonal Handle)

Marquis X4 Color Coded Perio Probe(Round Handle)

 

*Shipping and Handling charges will be included in your confirmation.

 

* For more information or to order different quantities or for special prices (Schools, Study Clubs, Lectures, etc.)

  Please call (800) 359-3206

* Please note: Tax is not included

 

 

 

Billing Information:

 

Name on Card:
Card Number:
Expiration Date:
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Shipping Information:

Same as billing

 

First Name:
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