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(888) 617-1409

General Info: (248) 674-4659

Today's Smiles

5155 Dixie Highway
Waterford, MI 48329

Appts: (888) 617-1409

 

New Patients - Make an Appointment Online

 

Just complete the following form and one of our team members will contact you as soon as possible to schedule a convenient time for your first appointment.

New Patient Appointments

Title & First name     
Last name
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Street address
Address (cont.)
City
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Zip/Postal code
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Best time is
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about us?		     
FAX
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Referred by (e.g., Mrs. Jones)

We respect your email privacy. We promise to never sell, barter or rent your email address to any unauthorized third party.  Please be aware that the information above will be sent via email and/or fax.

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