CCPA Privacy Request

Under the California Consumer Privacy Act (CCPA), California residents are entitled to make certain requests regarding the personal information that Premier Dental holds, shares, or uses about them. Please review Premier Dental’s Privacy Policy (https://izzosmile.com/privacy-policy) for further information on what information we collect and why we collect it. If you are a California resident and would like to submit a request under CCPA, please complete the below form. We ask that you provide this information so that we can verify your identity and respond to your request.

Under penalty of perjury, I declare the above information is true, correct and that I am the person, or the parent or guardian of the person, whose name appears above.