St Joseph cosmetic analysis - Advanced cosmetic and family dentistry in a comfortable environment.

	St. Joseph Missouri: 816-232-9790 Troy Kansas: 785-985-2555

Cosmetic Analysis


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	MEET DR. MYERS
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What's Happening in Our Community!

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

Location:

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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Refer-a-Friend Offer
In appreciation of your confidence in us and referring a friend, you will be rewarded with a $25.00 Credit on your account, and your friend will receive a $25 Credit on their account. Simply complete the form below. Thank you.

Venus Whitening
Box of Pre-Filled Trays
Only $45

Offers Expires: 02/24/2012

<p align="center" style="margin: 0in 0in 0pt;" class="MsoBodyText"><span style="font-size: 12pt; font-family: Arial; color: rgb(0, 0, 0);"><strong><br />
<span style="color: rgb(255, 0, 0); font-size: 18px; "><strong>Refer-a-Friend Offer</strong></span><br />
</strong><span style="color: rgb(0, 0, 0); font-size: 12px; ">In appreciation of your confidence in us and referring a friend, you will be rewarded with a $25.00 Credit on your account, and your friend will receive a $25 Credit on their account.  Simply complete the form below.  Thank you.<br />
</span><br />
<strong><span style="color: rgb(0, 0, 255); ">Venus Whitening</span></strong><span style="color: rgb(0, 0, 255); "> </span><br />
<span style="color: rgb(0, 0, 255); ">Box of Pre-Filled Trays</span><br />
<strong>Only $45</strong><br />
<br />
<span style="font-size: smaller; "><span style="color: rgb(255, 0, 0); ">Offers Expires:  02/24/2012</span></span><strong><span style="font-size: smaller; "><br />
</span>   <br type="_moz" />
</strong></span></p>

Please enter code above in the field below.

St. Joseph and Troy Dentist · Dennis T. Myers, D.D.S., P.A.
3115 Ashland Avenue, Suite 299 · St. Joseph, Missouri · 64506 | 102 E. Walnut Street · Troy, Kansas · 66087

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