SCHEDULE A PICK-UP

LOCATED IN OUR DELIVERY/PICK-UP AREA?

SIMPLY FILL OUT THE FORM BELOW TO SCHEDULE A PICK-UP.

WHERE SHOULD WE PICK-UP?

For our Florida location, complimentary pick-up & delivery is available Monday through Friday for offices located in Palm Beach County.
For our Texas location, complimentary pick-up & delivery is available Monday through Friday for offices located in the Downtown Fort Worth Metroplex area.

    NAME OF PRACTICE (required)

    DENTIST'S NAME (required)

    YOUR NAME (required)

    ADDRESS LINE 1 (required)

    ADDRESS LINE 2

    CITY (required)

    STATE (required)

    ZIP (required)

    TELEPHONE (required)

    EMAIL (required)

    DATE OF PICK-UP (required)

    NOTES

    CONTACT US

    FLORIDA LOCATION
    6313 SOUTH DIXIE HIGHWAY
    WEST PALM BEACH, FL 33405
    561.899.0606
    INFO@CCCLAB.DENTAL
    TEXAS LOCATION
    1506A MINERAL WELLS HIGHWAY
    WEATHERFORD, TEXAS 76086
    817.596.7086
    INFO@CCCLAB.DENTAL