Puyallup Dentist Cosmetic Analysis - Dr. Swensen & team at Hartland Dental Center provide advanced dentistry in a comfortable environment.

3928 10th St. SE | Puyallup, WA 98374
Call: 253 848 1558
 
 

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Cosmetic Analysis

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


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

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



What do you like best about your smile?

What do you like least about your smile?

Your Name:
Your Email Address:
Comments or Questions:



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New Patient Offer

$100 credit for New Patients
towards any restorative treatment
after New Patient Exam
and Cleaning appointment.

$400 credit towards
any Invisalign Treatment

in our office.


Please enter code above in the field below.



Hartland Dental Center · 3928 10th Street SE · Puyallup, WA · 98374

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