For pricing, products, and lab information, please fill out the form below.

Thank you for putting your trust in Ziemek Laboratories to provide you with the highest quality restorations for your patients.  To ensure a smooth transition, please take a moment to provide us with the following information. The information requested is required to establish your profile in our system. NOTE: Your case will remain on hold until we receive this completed information so please submit promptly to ensure timely delivery of your case and avoid the need to re-schedule. We respect our customers’ privacy and do not share your personal information with any third party.  If you have any questions, please contact our lab toll-free at 1.866.943.6357.  Thank you again for the opportunity to serve you and welcome to Ziemek Laboratories!