Buying a Dental Practice - Register as a Buyer| PMA

Thank you for inquiring about one of our dental practices.

Please provide the information requested below to help us find the right dental practice for you.

Contact Information

* fields are required.

First Name:*

Last Name:*

Phone Number:*

Email:*

Zip Code:*

Which Region are you looking to purchase a practice?:*

By checking the box below, I hereby consent and agree, as the Prospective Buyer, to all the terms and conditions of this Agreement.

I also agree that such action is an electronic substitute for my signature as the Prospective Buyer on this Agreement. I also agree to sign an identical copy of this Agreement if so requested by Broker.

Electronic Signature:*

Full Legal Name:*

Download Agreement (.pdf format)

Register As A Buyer

Contact Information