{"id":749,"date":"2022-05-11T11:53:43","date_gmt":"2022-05-11T15:53:43","guid":{"rendered":"https:\/\/myrealsmiletoday.com\/?page_id=749"},"modified":"2022-06-06T14:50:01","modified_gmt":"2022-06-06T18:50:01","slug":"provider-form","status":"publish","type":"page","link":"https:\/\/myrealsmiletoday.com\/provider-form\/","title":{"rendered":"Provider Form"},"content":{"rendered":"<p><div id=\"providerform\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1081.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-1 fusion-text-no-margin\" style=\"margin-bottom:40px;\"><p class=\"fontRegular\">Would you like to be a Smile Today Provider?<\/p>\n<p class=\"fontRegular\">(1) Please complete the form below and we will submit the request to your local sales representative<\/p>\n<p class=\"fontRegular\">(2) Contact your local ZimVie Sales Representative for Smile Today offers. Thank you.<\/p>\n<\/div>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f747-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wp-json\/wp\/v2\/pages\/749#wpcf7-f747-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"747\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.3\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f747-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<div style=\"padding-bottom: 10px;\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Practice-Name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Practice Name\" value=\"\" type=\"text\" name=\"Practice-Name\" \/><\/span>\n\t<\/p>\n<\/div>\n<div style=\"padding-bottom: 10px;\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Specialty\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Specialty\" value=\"\" type=\"text\" name=\"Specialty\" \/><\/span>\n\t<\/p>\n<\/div>\n<div style=\"padding-bottom: 10px;\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Practice-Website\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Practice Website\" value=\"\" type=\"text\" name=\"Practice-Website\" \/><\/span>\n\t<\/p>\n<\/div>\n<div style=\"padding-bottom: 10px;\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Street-Address\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Street Address\" value=\"\" type=\"text\" name=\"Street-Address\" \/><\/span>\n\t<\/p>\n<\/div>\n<div style=\"padding-bottom: 10px;\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"City\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"City\" value=\"\" type=\"text\" name=\"City\" \/><\/span>\n\t<\/p>\n<\/div>\n<div style=\"padding-bottom: 10px;\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"State\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"State\" value=\"\" type=\"text\" name=\"State\" \/><\/span>\n\t<\/p>\n<\/div>\n<div style=\"padding-bottom: 10px;\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Zip\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Zip\" value=\"\" type=\"text\" name=\"Zip\" \/><\/span>\n\t<\/p>\n<\/div>\n<div style=\"padding-bottom: 10px;\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Phone\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone\" value=\"\" type=\"text\" name=\"Phone\" \/><\/span>\n\t<\/p>\n<\/div>\n<div style=\"padding-bottom: 10px;\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Email\" value=\"\" type=\"email\" name=\"Email\" \/><\/span>\n\t<\/p>\n<\/div>\n<div style=\"padding-bottom: 10px;color: #9ea0a4;font-size: 14px;line-height: 20px;\">\n\t<p>I am a licensed and trained dental clinician. I hereby authorize the use of the forgoing information on www.ZimVie.com and Smile Today websites. I understand ZimVie reserves all rights with regards to this listing and may remove my listings without notice.\n\t<\/p>\n<\/div>\n<div style=\"padding-bottom: 5px;\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Provider-Name-Signature\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Provider Name\" value=\"\" type=\"text\" name=\"Provider-Name-Signature\" \/><\/span>\n\t<\/p>\n<\/div>\n<div style=\"padding-bottom: 5px;\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Provider-Date-Signature\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Date\" value=\"\" type=\"text\" name=\"Provider-Date-Signature\" \/><\/span>\n\t<\/p>\n<\/div>\n<div style=\"padding-bottom: 25px;\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"Customer-Account-Number\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Customer Account Number\" value=\"\" type=\"text\" name=\"Customer-Account-Number\" \/><\/span>\n\t<\/p>\n<\/div>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"165\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"fusion-alert alert custom alert-custom fusion-alert-center wpcf7-response-output alert-dismissable\" style=\"border-width:1px;\"><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><div class=\"fusion-alert-content-wrapper\"><span class=\"fusion-alert-content\"><\/span><\/div><\/div>\n<\/form>\n<\/div>\n<div class=\"fusion-text fusion-text-2\"><p><span style=\"font-size: 14px;\">This site is protected by reCAPTCHA and the Google <a href=\"https:\/\/policies.google.com\/privacy\"  style=\"font-size: 14px;\">Privacy Policy<\/a> and <a href=\"https:\/\/policies.google.com\/terms\"  style=\"font-size: 14px;\">Terms of Service<\/a> apply.<\/span><\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-0{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-0 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-0{width:100% !important;order : 0;}.fusion-builder-column-0 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-1{ padding-top : 0px;margin-top : 60px;padding-right : 0px;padding-bottom : 0px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #4da8d7;background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1081.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column FooterHeadline\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-3\"><div class=\"FooterHeadline\" style=\"text-align: center;\">A beautiful smile starts here.\u00a0\u00a0\u00a0#YouDeserveThis<\/div>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-1{width:100% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-1 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-1{width:100% !important;order : 0;}.fusion-builder-column-1 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-1{width:100% !important;order : 0;}.fusion-builder-column-1 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-2{ padding-top : 25px;margin-top : 0px;padding-right : 0px;padding-bottom : 25px;margin-bottom : 0px;padding-left : 0px;}<\/style><\/div>\n<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container footerWidth nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #0c83c6;background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#e2e2e2;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1081.6px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_2 1_2 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div ><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"240\" height=\"49\" title=\"SmileTodayLogo-Reg\" src=\"https:\/\/myrealsmiletoday.com\/wp-content\/uploads\/2022\/03\/SmileTodayLogo-Reg.png\" alt class=\"img-responsive wp-image-566\" srcset=\"https:\/\/myrealsmiletoday.com\/wp-content\/uploads\/2022\/03\/SmileTodayLogo-Reg-200x41.png 200w, https:\/\/myrealsmiletoday.com\/wp-content\/uploads\/2022\/03\/SmileTodayLogo-Reg.png 240w\" sizes=\"(max-width: 640px) 100vw, 240px\" \/><\/span><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-2{width:50% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-2 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 3.84%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 3.84%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-2{width:50% !important;order : 0;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 3.84%;margin-left : 3.84%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-2{width:100% !important;order : 0;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_2 1_2 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div style=\"text-align:right;\"><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\"><img decoding=\"async\" width=\"147\" height=\"41\" title=\"ZimVie-logo\" src=\"http:\/\/myrealsmiletoday.com\/wp-content\/uploads\/2022\/03\/ZimVie-logo-1.svg\" alt class=\"img-responsive wp-image-520\"\/><\/span><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-3{width:50% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-3 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 3.84%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 3.84%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-3{width:50% !important;order : 0;}.fusion-builder-column-3 > .fusion-column-wrapper {margin-right : 3.84%;margin-left : 3.84%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-3{width:100% !important;order : 0;}.fusion-builder-column-3 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"border-color:#ffffff;border-top-width:1px;\"><\/div><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-4{width:100% !important;margin-top : 0px;margin-bottom : 20px;}.fusion-builder-column-4 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.92%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.92%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-4{width:100% !important;order : 0;}.fusion-builder-column-4 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-4{width:100% !important;order : 0;}.fusion-builder-column-4 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_2_3 2_3 fusion-flex-column BottomFooterLinks\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-4\"><p style=\"margin-bottom: 0px;\"><a href=\"https:\/\/www.zimvie.com\/en\/privacy-notice.html\" target=\"_blank\" rel=\"noopener\">Privacy Notice<\/a>\u00a0\u00a0\u00a0<a href=\"https:\/\/www.zimvie.com\/en\/legal-notice.html\" target=\"_blank\" rel=\"noopener\">Terms of Use<\/a>\u00a0\u00a0\u00a0<a href=\"https:\/\/www.zimvie.com\/en\/legal-notice.html\" target=\"_blank\" rel=\"noopener\">Legal Notice<\/a>\u00a0\u00a0\u00a0<a href=\"\/contact-us\/\">Contact Us<\/a>\u00a0\u00a0\u00a0<a href=\"\/provider-form\/#providerform\">Become a Provider<\/a>\u00a0\u00a0\u00a0<a href=\"https:\/\/www.zimvie.com\/en\/dental.html\" target=\"_blank\" rel=\"noopener\">ZimVie.com <\/a><\/p>\n<p style=\"margin-bottom: 0px;\"><a href=\"https:\/\/www.zimvie.com\/en\/legal-notice\/uk-modern-slavery-act-and-california-transparency-in-supply-chai.html\" target=\"_blank\" rel=\"noopener\">UK Modern Slavery Act and California Transparency in Supply Chains Act<\/a><\/p>\n<p style=\"margin-bottom: 0px;\"><a href=\"https:\/\/www.zimvie.com\/en\/about-us\/no-surprises-act.html\" target=\"_blank\" rel=\"noopener\">No Surprises Act Disclosure<\/a><\/p>\n<p style=\"margin-bottom: 0px;\"><a href=\"https:\/\/app.convercent.com\/en-US\/LandingPage\/b04831f3-e722-ec11-a985-000d3ab9f062\" target=\"_blank\" rel=\"noopener\">Speak-Up Hotline<\/a><\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-5{width:66.666666666667% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-5 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 2.88%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 2.88%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-5{width:66.666666666667% !important;order : 0;}.fusion-builder-column-5 > .fusion-column-wrapper {margin-right : 2.88%;margin-left : 2.88%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-5{width:100% !important;order : 0;}.fusion-builder-column-5 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_3 1_3 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-5\"><p class=\"BottomFooterDisclaimer\" style=\"text-align: right;\">\u00a9 2022 ZimVie Inc. All rights reserved.<\/p>\n<\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-6{width:33.333333333333% !important;margin-top : 0px;margin-bottom : 0px;}.fusion-builder-column-6 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 5.76%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 5.76%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-6{width:33.333333333333% !important;order : 0;}.fusion-builder-column-6 > .fusion-column-wrapper {margin-right : 5.76%;margin-left : 5.76%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-6{width:100% !important;order : 0;}.fusion-builder-column-6 > .fusion-column-wrapper {margin-right : 1.92%;margin-left : 1.92%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 10px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-6 BottomFooterDisclaimer\"><div class=\"BottomFooterDisclaimer\"><em>This website is not intended to replace the experience and counsel of your dentist. 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