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Contact Us: Partners
Complete the form below and we will get back to you as soon as possible.
What is the nature of your company?
*
Choose One
Conventional Business with Healthcare providers as clients
Dental Group Practice
Healthcare E-Commerce
Individual Practitioner
Payer (Insurance Company)
Practice Management Reseller
Practice Management Software
Support Organization
EHG's complementing web-site
Other
Please select an option
Company
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Name
*
E-mail
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Phone
*
Fax
Web Site URL
Brief description of company's offering
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Select the services you are interested in
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This section is required. Please make a selection from the services options below.
DDS Enroll
DDS TimeManager
DDS WebStudio Advantage
DentistUSA
Electronic Claims
Merchant Services
Patient Education
Patient Statements
Real Time Eligibility & Benefits
Attachment Service
Other
Brief description of your partnering interest
*
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