If I do not agree to some or part of any of the services, I will not sign my name at the end of the whole agreement. I agree that should I want to cancel my denture(s) within 3 days having had my impressions or mold taken I will be still responsible to pay 50% of the total fees as long as my denture(s) will specifically only fit my mouth and they have my name embedded in them for identification purposes required by Nevada Law. I agree to not be able to dispute this with any third-party finance or credit card company. All cancellations of any dental treatment must be via email or writing. I agree that should I want to cancel my crown(s) or bridge(s) after my teeth have been reduced and received temporary crown(s) or bridge(s) I will still be responsible for 50% of the total fee as long as my permanent crown(s) or bridge(s) has not been fabricated. Once my crown(s) or bridge(s) has been fabricated than I agree to pay for the total fee because the crown(s) or bridge(s) will specifically only fit in my mouth and no one else’s. If I do not agree to some or part of any of the above, I will not sign my name at the end of the whole agreement.
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Dr. Caris Crow, DDS, MAGD • Dr. John Dilibero, DDS • Dr. Lawrence Drake, DDS • Dr. Kenneth Duffie, DDS • Dr. Gerald Earl, DMD • Dr. Duff Kaster, DDS • Dr. Michael Khanna, DDS • Dr. Scott Mohlman, DDS • Dr. William Moulton, DDS • Dr. Thomas Ostler, DDS • Dr. John Stephenson, DDS • Dr. Daniel Streifel, DDS • Dr. Gregory Greenwood, DMD • Abbey Dental Drake, PLLC – Dr. Lawrence Drake, DDS, Owner. The Bionic Smile Dental Implant Systems are performed at Abbey Dental Drake, PLLC. Bionic Smile is a dba of Abbey Dental Drake, PLLC.
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