Livonia Dentist




 
  Cosmetic Analysis
       

For a Cosmetic Analysis, simply complete the form below and we will contact you soon.  Thank you.

Our practice is committed to excellence in appearance-related dentistry. In our efforts to construct for you the best smile design, communication is the first most important step. Please answer the following questions to help pinpoint areas of greatest concern.


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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Livonia Dentist

Livonia Dentist

Call for an appointment today, and see
how we can help you!

734-427-7555

 

ComfortCosmeticSedationRestorativeInvisalign

Call for an appointment today, and see
how we can help you!

734-427-7555  		  


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Livonia Dentist
Livonia Dentist

New Patient Invitation

Only $59

Initial Exam
Professional Cleaning
Bite Wing X-rays
Consultation with
the Doctor
(a $239.00 value)

Offer Expires:
02/04/2012


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Dentist in Livonia MI

Livonia Dental Care · 33428 Five Mile Road · Livonia, MI 48154
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Livonia Dentist      Livonia Dentist
Livonia Dentist      Livonia Dentist
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