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How many missing or broken teeth do you have?
What is your age?
Do you currently have any of these dental appliances?
Are you currently unable to eat certain foods or have to modify the way you chew?
Do you find yourself hiding your smile?
Have you had a dental implant consultation with another dentist?
How ready do you feel to do something about your situation?
Are you interested in any affordable payment plan options?
Payment plans are available based on credit approval of the patient or co-signer. What best describes your credit?
Which best describes your household monthly income?
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