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Choose a lifetime of healthy smiles with the affordable Total Health Dental Plan.

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Account Information
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First Name (Primary Member)*
Last Name (Primary Member)*
Date of Birth*
Phone*
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Shipping Details
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Apt, Suite, Etc. (Optional)
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Checkout Summary

Participating Office
Subscription Type
Length of Membership
Years
Automatic Renewal
Annual membership will automatically renew for an additional one-year term. You may turn auto-renew on or off using self-service options in the member portal or by contacting Member Support.
Cancellation
You may request cancellation at any time by contacting Member Support. You will receive a full refund of membership fees if (i) you cancel within the applicable cancellation window, and (ii) no services have been provided to you under the plan. Restrictions and exceptions may apply, please review Member Terms & Conditions for details.

Billing Frequency

Annual

Annual Fee

Amount

Primary Member:
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Total Annual Cost:
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Total Due Now:
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