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         <div class="products__list__item__picture flex-grow-1 ">
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            <h5 class="card-title products__list__item__caption">
                
                
                <a href="https://dental.draft.webcart.us/dental-dam-6x-6trio-medium-360.htm" title="Dental Dam 6"x 6" Trio Medium (360)">
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                <span class="products__list__item__offer__price">
                    
                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
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                        $<span class="js_price_container" content="22.99" data-price="22.99" data-id="127033">22.99</span>
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</div><div class="col-12 col-sm-6 col-md-6 col-lg-4
 col-xl-3 


 products__list__item" data-categories-ids="">
    <div class="card d-flex flex-column">
        
        
         <div class="products__list__item__picture flex-grow-1 ">
    <div class="h-100 d-flex align-items-center justify-content-center">
                
            
                        <a href="https://dental.draft.webcart.us/dental-dam-kit.htm" title="Dental Dam Liquid" itemprop="image">
                            <img src="https://dental.draft.webcart.us/picts/products/tn300x300-light-cure-dental-dam.webp" alt="Dental Dam Liquid" class="card-img-top">
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        <div class="card-body">

            <h5 class="card-title products__list__item__caption">
                
                
                <a href="https://dental.draft.webcart.us/dental-dam-kit.htm" title="Dental Dam Liquid">
                    <span class="products__list__item__caption__link__name">Dental Dam Liquid</span>
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            </h5>

            
             <div class="products__list__item__offer">
                
                <span class="products__list__item__offer__price">
                    
                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="24.99" data-price="24.99" data-id="97667">24.99</span>
                    </span>
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            </div>
            
            
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</div><div class="col-12 col-sm-6 col-md-6 col-lg-4
 col-xl-3 


 products__list__item" data-categories-ids="">
    <div class="card d-flex flex-column">
        
        
         <div class="products__list__item__picture flex-grow-1 ">
    <div class="h-100 d-flex align-items-center justify-content-center">
                
            
                        <a href="https://dental.draft.webcart.us/dental-dam-nonlatex.htm" title="Dental Dam Non-Latex Mint Flavored Medium Purple (Sky Choice)" itemprop="image">
                            <img src="https://dental.draft.webcart.us/picts/products/tn300x300-sky189.jpg" alt="Dental Dam Non-Latex Mint Flavored Medium Purple (Sky Choice)" class="card-img-top">
                        </a>
                        
                
            </div>
            </div>

        <div class="card-body">

            <h5 class="card-title products__list__item__caption">
                
                
                <a href="https://dental.draft.webcart.us/dental-dam-nonlatex.htm" title="Dental Dam Non-Latex Mint Flavored Medium Purple (Sky Choice)">
                    <span class="products__list__item__caption__link__name">Dental Dam Non-Latex Mint Flavored Medium Purple (Sky Choice)</span>
                </a>
                
            </h5>

            
             <div class="products__list__item__offer">
                
                <span class="products__list__item__offer__price">
                    
                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="15.99" data-price="15.99" data-id="125970">15.99</span>
                    </span>
                </span>
                

            </div>
            
            
        </div>
    </div>
</div><div class="col-12 col-sm-6 col-md-6 col-lg-4
 col-xl-3 


 products__list__item" data-categories-ids="">
    <div class="card d-flex flex-column">
        
        
         <div class="products__list__item__picture flex-grow-1 ">
    <div class="h-100 d-flex align-items-center justify-content-center">
                
            
                        <a href="https://dental.draft.webcart.us/dental-floss-oraline.htm" title="Dental Floss 12 yd Waxed Oraline (144)" itemprop="image">
                            <img src="https://dental.draft.webcart.us/picts/products/tn300x300-33810.webp" alt="Dental Floss 12 yd Waxed Oraline (144)" class="card-img-top">
                        </a>
                        
                
            </div>
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        <div class="card-body">

            <h5 class="card-title products__list__item__caption">
                
                
                <a href="https://dental.draft.webcart.us/dental-floss-oraline.htm" title="Dental Floss 12 yd Waxed Oraline (144)">
                    <span class="products__list__item__caption__link__name">Dental Floss 12 yd Waxed Oraline (144)</span>
                </a>
                
            </h5>

            
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                <span class="products__list__item__offer__price">
                    
                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="34.99" data-price="34.99" data-id="34511">34.99</span>
                    </span>
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            </div>
            
            
        </div>
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</div><div class="col-12 col-sm-6 col-md-6 col-lg-4
 col-xl-3 


 products__list__item" data-categories-ids="">
    <div class="card d-flex flex-column">
        
        
         <div class="products__list__item__picture flex-grow-1 ">
    <div class="h-100 d-flex align-items-center justify-content-center">
                
            
                        <a href="https://dental.draft.webcart.us/1175-needles-100.htm" title="Dental Needles 100/Box Single use (Sky Choice)" itemprop="image">
                            <img src="https://dental.draft.webcart.us/picts/products/tn300x300-needles27g.png" alt="Dental Needles 100/Box Single use (Sky Choice)" class="card-img-top">
                        </a>
                        
                
            </div>
            </div>

        <div class="card-body">

            <h5 class="card-title products__list__item__caption">
                
                
                <a href="https://dental.draft.webcart.us/1175-needles-100.htm" title="Dental Needles 100/Box Single use (Sky Choice)">
                    <span class="products__list__item__caption__link__name">Dental Needles 100/Box Single use (Sky Choice)</span>
                </a>
                
            </h5>

            
             <div class="products__list__item__offer">
                
                <span class="products__list__item__offer__price">
                    
                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="6.99" data-price="6.99" data-id="37414">6.99</span>
                    </span>
                </span>
                

                        <span class="market"><span class="msrp">$<span class="js_msrp_container msrp" data-id="37414" content="9.99" data-msrp="9.99">9.99</span></span> </span> 
                                        
                      <span class="save" style="font-weight:bold;color: magenta;">Save: 30%
                          
                      </span>
                
            </div>
            
            
        </div>
    </div>
</div><div class="col-12 col-sm-6 col-md-6 col-lg-4
 col-xl-3 


 products__list__item" data-categories-ids="">
    <div class="card d-flex flex-column">
        
        
         <div class="products__list__item__picture flex-grow-1 ">
    <div class="h-100 d-flex align-items-center justify-content-center">
                
            
                        <a href="https://dental.draft.webcart.us/dmg-dentamile-desk-rs-1-chairside-3d-printing-.htm" title="DentaMile Desk RS-1 Chairside 3D Printing (DMG)" itemprop="image">
                            <img src="https://dental.draft.webcart.us/picts/products/tn300x300-dentamile_desk_rs_1_open.png" alt="DentaMile Desk RS-1 Chairside 3D Printing (DMG)" class="card-img-top">
                        </a>
                        
                
            </div>
            </div>

        <div class="card-body">

            <h5 class="card-title products__list__item__caption">
                
                
                <a href="https://dental.draft.webcart.us/dmg-dentamile-desk-rs-1-chairside-3d-printing-.htm" title="DentaMile Desk RS-1 Chairside 3D Printing (DMG)">
                    <span class="products__list__item__caption__link__name">DentaMile Desk RS-1 Chairside 3D Printing (DMG)</span>
                </a>
                
            </h5>

            
             <div class="products__list__item__offer">
                
                <span class="products__list__item__offer__price">
                    
                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="8,640.00" data-price="8640.00" data-id="126809">8,640.00</span>
                    </span>
                </span>
                

            </div>
            
            
        </div>
    </div>
</div><div class="col-12 col-sm-6 col-md-6 col-lg-4
 col-xl-3 


 products__list__item" data-categories-ids="">
    <div class="card d-flex flex-column">
        
        
         <div class="products__list__item__picture flex-grow-1 ">
    <div class="h-100 d-flex align-items-center justify-content-center">
                
            
                        <a href="https://dental.draft.webcart.us/dentapure-365-day-water-cartridge.htm" title="DentaPure 365 Day Water Cartridge" itemprop="image">
                            <img src="https://dental.draft.webcart.us/picts/products/tn300x300-571-DP365.webp" alt="DentaPure 365 Day Water Cartridge" class="card-img-top">
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        <div class="card-body">

            <h5 class="card-title products__list__item__caption">
                
                
                <a href="https://dental.draft.webcart.us/dentapure-365-day-water-cartridge.htm" title="DentaPure 365 Day Water Cartridge">
                    <span class="products__list__item__caption__link__name">DentaPure 365 Day Water Cartridge</span>
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            </h5>

            
             <div class="products__list__item__offer">
                
                <span class="products__list__item__offer__price">
                    
                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="226.99" data-price="226.99" data-id="32150">226.99</span>
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                        <a href="https://dental.draft.webcart.us/dentastic-uno-bottle.htm" title="DenTASTIC UNO " itemprop="image">
                            <img src="https://dental.draft.webcart.us/picts/products/tn300x300-220-UNO.webp" alt="DenTASTIC UNO " class="card-img-top">
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        <div class="card-body">

            <h5 class="card-title products__list__item__caption">
                
                
                <a href="https://dental.draft.webcart.us/dentastic-uno-bottle.htm" title="DenTASTIC UNO ">
                    <span class="products__list__item__caption__link__name">DenTASTIC UNO </span>
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             <div class="products__list__item__offer">
                
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                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="192.99" data-price="192.99" data-id="35989">192.99</span>
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    <div class="h-100 d-flex align-items-center justify-content-center">
                
            
                        <a href="https://dental.draft.webcart.us/dentin-conditioning-gel-kit.htm" title="Dentin Conditioning Gel Kit (Pulpdent)" itemprop="image">
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        <div class="card-body">

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                <a href="https://dental.draft.webcart.us/dentin-conditioning-gel-kit.htm" title="Dentin Conditioning Gel Kit (Pulpdent)">
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                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="45.99" data-price="45.99" data-id="113478">45.99</span>
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                        <a href="https://dental.draft.webcart.us/dentin-desensitizer-12ml-bottle.htm" title="Dentin Desensitizer 12ml Bottle" itemprop="image">
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                <a href="https://dental.draft.webcart.us/dentin-desensitizer-12ml-bottle.htm" title="Dentin Desensitizer 12ml Bottle">
                    <span class="products__list__item__caption__link__name">Dentin Desensitizer 12ml Bottle</span>
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            </h5>

            
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                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="59.99" data-price="59.99" data-id="22588">59.99</span>
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                        <a href="https://dental.draft.webcart.us/fiber-post-glass-itena.htm" title="DentoClic Fiber Glass Post (Itena)" itemprop="image">
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        <div class="card-body">

            <h5 class="card-title products__list__item__caption">
                
                
                <a href="https://dental.draft.webcart.us/fiber-post-glass-itena.htm" title="DentoClic Fiber Glass Post (Itena)">
                    <span class="products__list__item__caption__link__name">DentoClic Fiber Glass Post (Itena)</span>
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            </h5>

            
             <div class="products__list__item__offer">
                
                <span class="products__list__item__offer__price">
                    
                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="239.99" data-price="239.99" data-id="118438">239.99</span>
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            </div>
            
            
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         <div class="products__list__item__picture flex-grow-1 ">
    <div class="h-100 d-flex align-items-center justify-content-center">
                
            
                        <a href="https://dental.draft.webcart.us/dentocore-core-build-up-material-automix-itena.htm" title="DentoCore Automix Core Build up Material (Itena)" itemprop="image">
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        <div class="card-body">

            <h5 class="card-title products__list__item__caption">
                
                
                <a href="https://dental.draft.webcart.us/dentocore-core-build-up-material-automix-itena.htm" title="DentoCore Automix Core Build up Material (Itena)">
                    <span class="products__list__item__caption__link__name">DentoCore Automix Core Build up Material (Itena)</span>
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            </h5>

            
             <div class="products__list__item__offer">
                
                <span class="products__list__item__offer__price">
                    
                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="66.99" data-price="66.99" data-id="118431">66.99</span>
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         <div class="products__list__item__picture flex-grow-1 ">
    <div class="h-100 d-flex align-items-center justify-content-center">
                
            
                        <a href="https://dental.draft.webcart.us/dentocore-core-build-up-material-itena.htm" title="DentoCore Core Build Up Material Cartridge (Itena)" itemprop="image">
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        <div class="card-body">

            <h5 class="card-title products__list__item__caption">
                
                
                <a href="https://dental.draft.webcart.us/dentocore-core-build-up-material-itena.htm" title="DentoCore Core Build Up Material Cartridge (Itena)">
                    <span class="products__list__item__caption__link__name">DentoCore Core Build Up Material Cartridge (Itena)</span>
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            </h5>

            
             <div class="products__list__item__offer">
                
                <span class="products__list__item__offer__price">
                    
                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="189.99" data-price="189.99" data-id="118432">189.99</span>
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        </div>
    </div>
</div><div class="col-12 col-sm-6 col-md-6 col-lg-4
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    <div class="card d-flex flex-column">
        
        
         <div class="products__list__item__picture flex-grow-1 ">
    <div class="h-100 d-flex align-items-center justify-content-center">
                
            
                        <a href="https://dental.draft.webcart.us/dentotemp-temporay-cement-itena.htm" title="DentoTemp Temporary Cement (Itena)" itemprop="image">
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            </div>
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        <div class="card-body">

            <h5 class="card-title products__list__item__caption">
                
                
                <a href="https://dental.draft.webcart.us/dentotemp-temporay-cement-itena.htm" title="DentoTemp Temporary Cement (Itena)">
                    <span class="products__list__item__caption__link__name">DentoTemp Temporary Cement (Itena)</span>
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            </h5>

            
             <div class="products__list__item__offer">
                
                <span class="products__list__item__offer__price">
                    
                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="103.99" data-price="103.99" data-id="118433">103.99</span>
                    </span>
                </span>
                

            </div>
            
            
        </div>
    </div>
</div><div class="col-12 col-sm-6 col-md-6 col-lg-4
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         <div class="products__list__item__picture flex-grow-1 ">
    <div class="h-100 d-flex align-items-center justify-content-center">
                
            
                        <a href="https://dental.draft.webcart.us/dentray-ii-perforated-sultan.htm" title="Dentray II Perforated Impression Trays 12/Pkg " itemprop="image">
                            <img src="https://dental.draft.webcart.us/picts/products/tn300x300-5f55g55555555521345678.webp" alt="Dentray II Perforated Impression Trays 12/Pkg " class="card-img-top">
                        </a>
                        
                
            </div>
            </div>

        <div class="card-body">

            <h5 class="card-title products__list__item__caption">
                
                
                <a href="https://dental.draft.webcart.us/dentray-ii-perforated-sultan.htm" title="Dentray II Perforated Impression Trays 12/Pkg ">
                    <span class="products__list__item__caption__link__name">Dentray II Perforated Impression Trays 12/Pkg </span>
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            </h5>

            
             <div class="products__list__item__offer">
                
                <span class="products__list__item__offer__price">
                    
                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="14.99" data-price="14.99" data-id="83854">14.99</span>
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</div><div class="col-12 col-sm-6 col-md-6 col-lg-4
 col-xl-3 


 products__list__item" data-categories-ids="">
    <div class="card d-flex flex-column">
        
        
         <div class="products__list__item__picture flex-grow-1 ">
    <div class="h-100 d-flex align-items-center justify-content-center">
                
            
                        <a href="https://dental.draft.webcart.us/denture-bags-5x6-clear-500.htm" title="Denture Bags 5x6 Clear (500) (Buffalo)  " itemprop="image">
                            <img src="https://dental.draft.webcart.us/picts/products/tn300x300-b750190.webp" alt="Denture Bags 5x6 Clear (500) (Buffalo)  " class="card-img-top">
                        </a>
                        
                
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        <div class="card-body">

            <h5 class="card-title products__list__item__caption">
                
                
                <a href="https://dental.draft.webcart.us/denture-bags-5x6-clear-500.htm" title="Denture Bags 5x6 Clear (500) (Buffalo)  ">
                    <span class="products__list__item__caption__link__name">Denture Bags 5x6 Clear (500) (Buffalo)  </span>
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            </h5>

            
             <div class="products__list__item__offer">
                
                <span class="products__list__item__offer__price">
                    
                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="42.99" data-price="42.99" data-id="111553">42.99</span>
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        </div>
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</div><div class="col-12 col-sm-6 col-md-6 col-lg-4
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    <div class="card d-flex flex-column">
        
        
         <div class="products__list__item__picture flex-grow-1 ">
    <div class="h-100 d-flex align-items-center justify-content-center">
                
            
                        <a href="https://dental.draft.webcart.us/denture-boxes-plasdent-dental-12.htm" title="Denture Boxes (12) (Plasdent)" itemprop="image">
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            <h5 class="card-title products__list__item__caption">
                
                
                <a href="https://dental.draft.webcart.us/denture-boxes-plasdent-dental-12.htm" title="Denture Boxes (12) (Plasdent)">
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            </h5>

            
             <div class="products__list__item__offer">
                
                <span class="products__list__item__offer__price">
                    
                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="7.99" data-price="7.99" data-id="113110">7.99</span>
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        </div>
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</div><div class="col-12 col-sm-6 col-md-6 col-lg-4
 col-xl-3 


 products__list__item" data-categories-ids="">
    <div class="card d-flex flex-column">
        
        
         <div class="products__list__item__picture flex-grow-1 ">
    <div class="h-100 d-flex align-items-center justify-content-center">
                
            
                        <a href="https://dental.draft.webcart.us/chroma-denture-box.htm" title="Denture Boxes Assorted 12/Bx (Sky Choice)" itemprop="image">
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            </h5>

            
             <div class="products__list__item__offer">
                
                <span class="products__list__item__offer__price">
                    
                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="7.99" data-price="7.99" data-id="31809">7.99</span>
                    </span>
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    <div class="card d-flex flex-column">
        
        
         <div class="products__list__item__picture flex-grow-1 ">
    <div class="h-100 d-flex align-items-center justify-content-center">
                
            
                        <a href="https://dental.draft.webcart.us/denture-brush-12-sky.htm" title="Denture Brush (12)" itemprop="image">
                            <img src="https://dental.draft.webcart.us/picts/products/tn300x300-dentre_jhjbj.webp" alt="Denture Brush (12)" class="card-img-top">
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        <div class="card-body">

            <h5 class="card-title products__list__item__caption">
                
                
                <a href="https://dental.draft.webcart.us/denture-brush-12-sky.htm" title="Denture Brush (12)">
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            </h5>

            
             <div class="products__list__item__offer">
                
                <span class="products__list__item__offer__price">
                    
                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="19.99" data-price="19.99" data-id="75143">19.99</span>
                    </span>
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         <div class="products__list__item__picture flex-grow-1 ">
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                        <a href="https://dental.draft.webcart.us/oral-b-denture-brush-6.htm" title="Denture Brush, 6/Pkg (Oral-B)" itemprop="image">
                            <img src="https://dental.draft.webcart.us/picts/products/tn300x300-p070099.png" alt="Denture Brush, 6/Pkg (Oral-B)" class="card-img-top">
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        <div class="card-body">

            <h5 class="card-title products__list__item__caption">
                
                
                <a href="https://dental.draft.webcart.us/oral-b-denture-brush-6.htm" title="Denture Brush, 6/Pkg (Oral-B)">
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            </h5>

            
             <div class="products__list__item__offer">
                
                <span class="products__list__item__offer__price">
                    
                    <span class="products__list__item__offer__price__caption"> Price:</span>
                    
                    
                    <span class="products__list__item__offer__price__value">
                        $<span class="js_price_container" content="9.99" data-price="9.99" data-id="121422">9.99</span>
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<input type="hidden" name="BUFFER" value="CONTACT_US">
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                        <form action="https://dental.draft.webcart.us/index.php" method="post" name="login_form" id="main_login_form" class="">
                            <span class="hidden ajax_next_url"><!--replace this comment with URL--></span>
                            <DIV class="text-center form_err_message error_mess"><br>
                                <span class="form_email_error error_mess">Value entered for e-mail is invalid<br></span>
                                <span class="form_password_error error_mess">Passwords don't match<br></span>
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                                        <input type="text" value="" name="DATA[EMAIL]" size="35" maxlength="255" dir="ltr" id="LOGIN_EMAIL" placeholder="Enter your e-mail used as login" class=" mandatory email form-control form-control-sm" >
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                            <input type=hidden name="ACC_TPY" value="CUSTOMERS">
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<div id="mm-quote" class="modal fade" tabindex="-1" aria-labelledby="mm-quoteLabel" aria-hidden="true">
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	<form action="index.php" method="post" name="contact_form" class="contact_form" data-json="1">

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						  <div class="row form-group mb-3">
							<label class="col-md-4 col-form-label text-md-end">Full Name: <b class="madatorystar">*</b></label>
							 <div class="col-md-8">
							  <input type="text" value="" name="DATA[LNAME]" size="45" maxlength="255" dir="ltr" id="CONTACT10_LNAME" class=" form-control mandatory" >
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							<label class="col-md-4 col-form-label text-md-end">Company:</label>
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							  <input type="text" value="" name="DATA[COMPANY]" size="45" maxlength="255" dir="ltr" id="CONTACT10_COMPANY" class=" form-control mandatory" >
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						  <div class="row form-group mb-3">
							<label class="col-md-4 col-form-label text-md-end">E-mail: <b class="madatorystar">*</b></label>
							 <div class="col-md-8">
							  <input type="text" value="" name="DATA[EMAIL]" size="45" maxlength="255" dir="ltr" id="CONTACT10_EMAIL" class=" form-control mandatory mail" >
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							  <input type="text" value="" name="DATA[PHONE]" size="45" maxlength="255" dir="ltr" id="CONTACT10_PHONE" class=" form-control" >
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<div class="modal fade" id="QUOTEModal" tabindex="-1" role="dialog" aria-labelledby="QUOTEModalLabel">
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<form action="index.php" method="post" name="contact_form" class="form-horizontal contact_form" data-ga-event-category="contact_form" data-ga-event-action="submit" data-ga-event-label="CONTACT3">
<div align="center" class="error_mess ajax_errors" style="display:none"></div>
<DIV class="form_err_message error_mess" align="center">
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</DIV>


	<div class="form-group row">
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	      <input type="text" value="" name="DATA[FNAME]" size="45" maxlength="255" dir="ltr" id="CONTACT_FNAME" class=" mandatory form-control" >
	    </div>
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  	<div class="form-group row">
	    <label class="col-sm-4 control-label">Last Name<b class="madatorystar">*</b></label>
	    <div class="col-sm-8">
	      <input type="text" value="" name="DATA[LNAME]" size="45" maxlength="255" dir="ltr" id="CONTACT_LNAME" class=" mandatory form-control" >
	    </div>
  	</div>
	<div class="form-group row">
	    <label class="col-sm-4 control-label">E-mail<b class="madatorystar">*</b></label>
	    <div class="col-sm-8">
	      <input type="text" value="" name="DATA[EMAIL]" size="45" maxlength="255" dir="ltr" id="CONTACT_EMAIL" class=" mandatory form-control" >
	    </div>
  	</div>
	<div class="form-group row">
	    <label class="col-sm-4 control-label">Phone</label>
	    <div class="col-sm-8">
	     <input type="text" value="" name="DATA[PHONE]" size="45" maxlength="255" dir="ltr" id="CONTACT_PHONE" class=" form-control" >
	    </div>
  	</div>
  	
	<div class="form-group row">
	    <label class="col-sm-4 control-label">Ship to Country<b class="madatorystar">*</b></label>
	    <div class="col-sm-8">
	   	<select size="1" id="CONTACT_COUNTRY" name="DATA[COUNTRY]" dir="ltr" class=" mandatory form-control form-select" ><option value="USA" class=" " >UNITED STATES</option><option value="CA" class=" " >CANADA</option><option value="MX" class=" " >MEXICO</option></select>
	    </div>
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  	<div class="form-group row">
	    <label class="col-sm-4 control-label">System you are interested in</label>
	    <div class="col-sm-8">
	   <textarea cols="30" rows="2" id="CONTACT_SYSTEM" name="DATA[SYSTEM]" dir="ltr" class=" form-control" ></textarea>
	    </div>
  	</div>
  	

	<div class="form-group row">
	    <label class="col-sm-4 control-label">Comments</label>
	    <div class="col-sm-8">
	   <textarea cols="30" rows="2" id="CONTACT_COMMENTS" name="DATA[COMMENTS]" dir="ltr" class=" form-control" ></textarea>
	    </div>
  	</div>


      </div>
      <div class="modal-footer">
        <button type="button" class="btn btn-secondary" data-dismiss="modal">Close</button>
        <input type="hidden" name="DATA[SKU]" value="">
		<input type="hidden" name="DATA[PRODUCT_NAME]" value="">
		<input type="hidden" name="DATA[LINK]" value="https://dental.draft.webcart.us/products/">
		<input type="submit" name="submit" value="Request a Quote" class="btn btn-primary">

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<input type="hidden" name="BUFFER" value="CONTACT_US">
<input type="hidden" name="section" value="contact_form">
<input type="hidden" name="userid" value="">
<input type="hidden" name="TAG" value="CONTACT3">
<input type="hidden" name="ac" value="insert">
<input type="hidden" name="next_action" value="default">
<input type="hidden" name="next_section" value="contact_us_thanks">
<input type="hidden" name="onerror_section" value="products">
<input type="hidden" name="DATA[THE_TIME]" value="NOW()">


	<input type="hidden" name="params[page_idx]" value="144">

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			 Level 3 CURRENT: templates/trees/top_menu_item3.html) 
$LIST_top_menu_ex Type: LIST  (xml) (
			 ENTIRE_LIST_TEMPLATE: templates/lists/list.html
			 ITEM_TEMPLATE: templates/lists/top_menu_ex_item.html) 
$LIST_manufs Type: LIST  (xml) (
			 ENTIRE_LIST_TEMPLATE: templates/lists/manuf_list.html
			 ITEM_TEMPLATE: templates/lists/manuf_list_item.html) 
$LIST_products [1] Type: LIST  (xml) (
			 ENTIRE_LIST_TEMPLATE: templates/lists/products_list_list.html
			 ITEM_TEMPLATE: templates/lists/products_list_item.html) 
$LIST_pictures Type: LIST  (xml) (
			 ENTIRE_LIST_TEMPLATE: templates/lists/list.html
			 ITEM_TEMPLATE: templates/lists/popuppict.html) 
-->