Midwest Dental - Product Registration
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Product Registration
 
Company:
City:
Zip:
Address:
State:
Phone:
Product
Name:

Product
Serial#:

Product
Reference#:
Dealer:
Dealer City:
Dealer State:
1) How many handpieces do you own? 2) Which factors most influenced your purchase of this Midwest handpiece?
High Speed
Low Speed
Midwest Reputation
Value for the Price
Low Cost to Own
Prior Experience with Midwest
Quality/Durability
Performance
  Other, specify
 
3) Which other brands, if any, did you seriously consider before buying this Midwest handpiece? 4) Is this product a replacement or an addition to your handpiece inventory?
None
Star
KaVo
W&H (A-doc)
Lares
MicroMotors
Private Label Brand
  Other, specify
Addition
Replacement
  If replacement, what did you replace?
 
   
 
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DENTSPLY Professional Division
West

901 West Oakton St.
Des Plaines, IL 60018
800.800.2888 Phone • 847.640.6165 Fax
DENTSPLY Professional Division
East

1301 Smile Way
York, PA 17404-1785
800.989.8825 Phone • 717.767.8250 Fax
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