Purchase an ACTIVA™ BioACTIVE-RESTORATIVE™ Starter Kit or ACTIVA™ KIDS BioACTIVE-RESTORATIVE™ Starter Kit and get a Single Refill FREE, plus a FREE 12 ml Etch-Rite. Limit one per dentist.

Name*
First Last
Job Title (Required)*
- Hygienist
- Dentist
- Dental Assistant
- Dental Office Staff
Office Email*
Office Phone*
Office/Dentist Name*
Office Address*
Address Line 1 Address Line 2 City State ZIP Code

Orders will be fulfilled by Dental City, Inc. Free goods will be sent separately by Pulpdent Corporation.
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Call us: (800) 343-4342