105 E. Fourth Street, Suite 1175, Cincinnati, Ohio 45202
(513) 621-BITE (2483)



   

New Patient Offer

With an exam, X-rays and cleaning, get a Dentist-supervised take home Nite White tray bleaching system for $95, a $300 value!

Nite White tray bleaching system

Complete the form below or call our office to take advantage of this offer!

Offer Expires
02/24/2012


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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. Or we can discuss your smile with you in person at your next visit.


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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Cincinnati Dentist · Fountain Square Cosmetic Dental Group · 105 E. Fourth Street, Suite 1175 · Cincinnati, OH · 45202
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