Information Request

If you would like further information about our laboratory or any of the products and services we provide please call us directly or complete the following form. At Baran Dental Laboratory we prefer to think of our relationship as a partnership rather than that of a vendor. We hope to hear from you and look forward to working with you in the future.
*Items in bold are required.
Are you a current patient?


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.
WE WANT TO HEAR FROM YOU!

PROFESSIONAL ASSOCIATIONS

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