Contact Us:

Consumers for Dental Choice
316 F Street N.E., Suite 210
Washington, DC 20002

Phone:   (202) 544-6333
Fax:       (202) 544-6331
Email:    info@toxicteeth.org

To assist us in our work for mercury-free dentistry, please fill out this form:

I am a consumer
I am a health care provider
Other

Name:

Business Name:

Address:

City:

State:

Zip:

Phone:

Email:

Profession:

Tell us about you and your interest in our mission:

How you can help:

I am a consumer and would like to work with grassroots in my state.
I am a health care provider and would like to assist in your efforts.
I would like to make a contribution to Consumers for Dental Choice.
Unfortunately I cannot help at this time.

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I am a consumer I am a health care provider Other

Name:
Business Name:
Address:
City:
State:
Zip:
Phone:
Email:
Profession:

Tell us about you and your interest in our mission:


How you can help:
I am a consumer and would like to work with grassroots in my state. I am a health care provider and would like to assist in your efforts. I would like to make a contribution to Consumers for Dental Choice. Unfortunately I cannot help at this time.