New Patient Offer

New Patient
Welcome Offer

$99.00

Includes a cleaning by one of our great Hygienists! The Hygienist will also take any necessary X-rays (4 Bite Wings). Once the cleaning is completed, Dr. H. Charles Jelinek Jr. will do a thorough exam and oral cancer check.

This offer is for new patients only and may not be combined with insurance.

Complete the form below or call our office to take advantage of this offer!

Offer Expires 08/25/2018


New Patient
Welcome Offer

$99.00

Includes a cleaning by one of our great Hygienists! The Hygienist will also take any necessary X-rays (4 Bite Wings). Once the cleaning is completed, Dr. H. Charles Jelinek Jr. will do a thorough exam and oral cancer check.

This offer is for new patients only and may not be combined with insurance.

Complete the form below or call our office to take advantage of this offer!

Offer Expires 08/25/2018


Dental Appointment Request

If you would like to request an appointment, simply complete the form below and we will be in touch with you soon.

Note: We do not accept CONFIRMATIONS or CANCELLATIONS via this form. If you need to confirm or reschedule your appointment, please call our office.

 
Your Name:  
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Street Address:  
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How did you hear of our practice?  
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