2900 Hamilton Boulevard, Allentown, PA18103
(610) 432-1320, [email protected]
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Monday 8:00 – 3:30. Tuesday 8:00 – 3:30. Wednesday 8:00 – 3:30. Thursday 8:00 – 3:30. |
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| Before– mercury filling. |
After–same tooth with a porcelain onlay. |
After completing the three forms above, please e-mail them to our office at:
Instructions to Filling Out the Above 3 Forms
1. Click on a form link above (example – click on “Welcome form“).
2. Print form, fill it out, & scan it back into your computer.
2. Print form, fill it out, & scan it back into your computer.
3. When done filling out all three forms, e-mail them to [email protected]
or you can bring the filled out forms with you to your appointment.