Health Information Form
If this is your first visit or if any information has changed, save time at the office by downloading and completing this form ahead of your visit.
We Accept:
-Care credit
-Citi health card
-Lending club (patient solutions)
FREE Electrical Toothbrush
With Exam And Regular Cleaning
10% OFF Your
Entire 1st Bill!
If You "LIKE" Us On Facebook
FREE At-Home
Bleaching Kit
With ZOOM In-Office Bleaching
($350.00 value)
FREE Exam & Consultation
With accepted treatment
