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  • If you are a New Patient, you will be asked to provide your insurance information when we contact you to schedule your appointment.
  • This form is not to be used for solicitation or advertising purposes. The information you’ve provided will only be used by our staff to contact you and will never be released to third parties. For more details, please review our privacy policy. By submitting your information to Park Dental, you agree to our website's Terms and Conditions. We ask you to review these Terms and Conditions prior to submitting your information.
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    Why do some doctors not have a star rating or comments?
    In order to provide our patients with the most accurate and beneficial information, we only post star ratings and comments for a doctor once they have received a minimum of 30 surveys within the previous 12 months.



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