Submit Case

dental lab

Case Submission

To submit a case, fill in the required details, attach your digital files, and send us your case. Please contact us directly if you have questions at (805) 461-6634.

Contact Information

Lab/Doctor*

Contact Name*

Phone Number*

Email Address*

Case Details

Patient Last Name*

First Initial*

Rx/Order No.*

Shade*

Tooth No.

Comments & Instructions

Attach Files

– File Selection* 1:

– File Selection 2:

– File Selection 3:

– File Selection 4:

– File Selection 5:

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