Please enter all your details below and submit the form. We will receive your order via email.
To confirm your order, please make payment into the following bank account, using your name and surname as reference.
Bank details:
Xtradent Dental Laboratory
FNB Cheque account: Universal bank code
Account no 62 585 385 597
Please note that each product will be accompanied by an Xtradent invoice with the relevant ICD 10 codes