Questionnaire

A smile has a huge impact on your self image, and can greatly influence the quality of your interactions with others. People will hold back their smile and/or refrain from laughing because they are uncomfortable with their smile.

  • Are any of your teeth yellow, stained, or discolored? Yes or No
  • Would you like your teeth whiter? Yes or No
  • Do you have any spaces or gaps in your teeth? Yes or No
  • Are any of your teeth turned, crooked, or uneven? Yes or No
  • Are you self conscious about the apperance of your teeth or smile? Yes or No
  • Do you try to smile with your lips closed when being photographed? Yes or No
  • If you answered yes to any of these questions, are you interested in learning what you can do to change your smile? Yes or No

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Monday:

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Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

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Closed

Saturday:

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Sunday:

Closed