Contact Us:

Consumers for Dental Choice
727 15th St. NW, Suite 701
Washington, DC 20005

Phone: (202) 544-6333
Email:sylvia@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.

back | top

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.