Portland Dentist                                                                                                                          Portland Dentist
Portland Dentist



Portland Dentist

Refer a Friend Offer

The 50-50 Offer

We will place a $50 credit on an existing patient's account for referring a friend to the office. 
The new patient will also recieve a $50 credit.

$500 Off Invisalign

Invisalign is the clear and wireless way to straighten your teeth.
Simply complete the form below or call our office by the deadline.  Thank you.

Must sign up by: 
Mar 12 2010



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  Cosmetic Analysis
       

For a cosmetic analysis, simply complete the form below and someone from our dental team will contact you soon.


Do you have concerns about? (please check all that apply)
Gaps or Spaces between Teeth
Color of Teeth
Shape of Teeth
Size of Teeth
Show too much Gum
Symmetry of Teeth
Position of Teeth (crooked or crowded)
Teeth Chipped or Broken
Discolored Restorations (i.e. existing crowns, fillings, bonding)
Front Teeth
Back Teeth
Inflamed or Bleeding Gums



What do you like best about your smile?

What do you like least about your smile?
Your Name:
Your Email Address:
Comments or Questions:



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Portland Dentist      Portland Dentist
Portland Dentist      Portland Dentist