COMPANY INFORMATION

If you are interested in becoming a ZimVie Authorized Dental Distributor, please complete the survey below and we will get back to you as soon as possible.

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* 1. Company name (Legal Entity)

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* 2. Country or areas where you would like to distribute our ZimVie portfolio

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* 3. Years performing in dental business

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* 4. Number of employees

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* 5. Number of sales reps that will be dedicated to sell ZimVie Dental products

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* 6. Please, choose your primary customer target groups (select all that apply):

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* 7. Market size on implant units sold yearly in your region

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* 8. Number of implant units sold yearly by your company

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* 9. Additional comments (optional)

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