Virtual Smile Consult - Tri City Dental

With our Virtual Smile Consultation!

Dr. Lopez is a pro at selfies!

Name*
Email*
Phone
What do you like about your smile?*
What do you dislike about your smile?*
Is there a particular type of treatment you are interested in (such as Invisalign or veneers)*
Do you have anxiety or fear of dental treatment?*
How long have you been considering cosmetic dental work?*
What is your biggest barrier to improving your smile?*
Please select one
Please upload a "selfie" and a close up picture of your smile, like in the examples above*
Drop files here or