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HOME
ABOUT US
OUR TEAM
BRACES
STAR ALIGN
SERVICES
DENTAL IMPLANTS
FILLINGS
ROOT CANAL TREATMENT
DENTAL IMPLANTS
FILLINGS
ROOT CANAL TREATMENT
TREATMENT GALLERY
CONTACT US
POST TREATMENT INSTRUCTIONS
SURGICAL TOOTH EXTRACTION
IMPLANT PLACEMENT
RETAINERS
BRACES PLACEMENT
SURGICAL TOOTH EXTRACTION
IMPLANT PLACEMENT
RETAINERS
BRACES PLACEMENT
FOR DOCTORS
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First name
*
Last name
*
Gender
*
Male
Female
Prefer not to say
Chief Complaint
*
Frontal
Frontal Smile
Lateral
three quarter
right lateral
frontal
left lateral
upper occlusal
lower occlusal
Arches to treat
*
upper
lower
both
Dont move following teeth
18
17
16
15
14
13
12
11
extract following teeth
18
17
16
15
14
13
12
11
do not place attachments on
18
17
16
15
14
13
12
11
Aligner Delivery Preference
*
In batches
All at once
Payment Preference
*
Per Aligner
Unlimited
Special instructions
Submit
HOME
ABOUT US
OUR TEAM
BRACES
STAR ALIGN
SERVICES
DENTAL IMPLANTS
FILLINGS
ROOT CANAL TREATMENT
TREATMENT GALLERY
CONTACT US
POST TREATMENT INSTRUCTIONS
SURGICAL TOOTH EXTRACTION
IMPLANT PLACEMENT
RETAINERS
BRACES PLACEMENT
FOR DOCTORS
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