Consultation
1) Fill out the questionnaire below
2) In the message below, let us know the procedures you are interested in and your available time/day for appointments
Would you like to change anything about the appearance of your teeth or smile?
Are you missing any teeth?
Are the edges of any teeth worn down, chipped or uneven?
Do any of your teeth appear too small, short, large or long?
Do you have a "gummy" smile (too much of your gums show when smiling)?
Are any of your teeth turned, crooked, or uneven?
Are any of your teeth yellow, stained or somewhat discolored?
Do you have any gaps or spaces between your teeth?
Does the appearance of your smile inhibit you from laughing or smiling?
For Consultation please call (808)988-6919 or contact us
Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.