Midwest Dental Laboratory
Association, Inc.

Dedicated to upholding and advancing the dignity, honor and efficiency
of those engaged in the dental laboratory profession.

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About MDLA

Membership

Join MDLA Today!

If you are interested in joining the MDLA, please download and print out the membership brochure below and return it to our office with your membership payment.

Click here to download Membership Brochure

Or you may fill out the application below to join on-line. Please contact Sheryle Hazard at 651-317-8065 or info@mwdentallab.org with questions.

Fields marked with an asterisk * are required.

* Membership Level

(required)

* Payment Method

(required)

* First Name

(required)

* Last Name

(required)

* Are you a CDT?

(required)

If yes, in what area?

* Lab/Company Name

(required)

* Address

(required)

* City

(required)

* State/Province

(required)

* Zip Code

(required)

* Phone

(required)

Fax

* Email

(required)

Do you have any proprietary financial interest in this dental lab or any other?

Lab Owner(s)

Spouse(s)

Home Address

City

State

(required)

Zip Code

(required)

Company Specialties, please check below or enter if not on the list

Crown and Bridge

Ceramics

Orthodontics

Dentures

Partial Dentures

Implants

Is your laboratory a Certified Dental Laboratory? (Active Mbrs Only)

If yes, in what areas? (Active Mbrs Only)

If no, would you like information on how to become a CDL? (Active Mbrs Only)

After you submit your application above, please transfer to the online processing page and submit credit card information online. Your credit card will be processed after your application has been reviewed. Be sure to hit Submit on the above form to forward your information before transferring to the payment screen!

If you have selected to pay by check, please forward to the MDLA office address below. If you have selected to be invoiced, a bill will be forwarded to the address provided.

Thank you and welcome to MDLA!

Midwest Dental Laboratory Association, Inc.
2345 Rice Street, Suite 220
St. Paul, MN 55113
Phone 651-317-8065 -- Fax 651-317-8048
Email info@mwdentallab.org
Website www.mwdentallab.org View Site Map