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Request Local Service

We support the following servicable locations in the states of New York, New Jersey, Connecticut and Pennsylvania.
  • Nassau / Suffolk County
  • Westchester
  • Queens
  • Hudson County
  • Brooklyn
  • Newark County
  • Bronx
  • Fairfield County
  • Manhattan
  • Staten Island
Guest
Please submit your information for an on-site service request. Fields marked with * are mandatory. We will confirm your request within 1-2 business days.
Select Level of Priority
Preferred Service Call Time
Secondary Service Call Time
Type of Equipment for Repair *
Manufacturer Number *
Model Number *
Serial Number
Item Purchased with M&S Dental?
Yes No
Is This Item Under Warranty?
Yes No
Problem Description *
Preferred Method of Communication
Email Phone Number
Who is Your Office Point of Contact? *
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