Cosmetic Analysis

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


What do you have concerns about? (please check all that apply)

Back Teeth
Color of Teeth
Discolored Restorations (i.e. existing crowns, fillings, bonding)
Front Teeth
Gaps or Spaces between Teeth
Position of Teeth (crooked or crowded)
Shape of Teeth
Show too much Gum
Size of Teeth
Symmetry of Teeth
Teeth Chipped or Broken
Inflamed or Bleeding Gums



What do you like best about your smile?

What do you like least about your smile?

Your Name:
Telephone:
Your Email Address:
Comments or Questions:


Please enter code above in the field below.

 

Olympia Dentist Patient Offer

New Patient Offer

$47.00 Special
Come in to get to know
us. New patient exam
and 4 xrays for $47.00.

Complete the form below or call our office to take advantage of this offer!
Offer Expires 10/11/2022

NO INSURANCE???
NO PROBLEM
Ask about our in-house payment options.

Office Hours:

  • Monday 7:00am - 5:00pm
  • Tuesday 7:00am - 3:00pm
  • Wednesday 7:00am - 5:00pm
  • Thursday 7:00am - 1:00pm
  • Friday Dr T teaches at the U. of W. School of Dentistry

Wheel Chair Accessible

(360) 943-4420

Forms
Office Tour
Refer a Friend
Smile Analysis