Douglas R Pick DDS PLC Recall Appointment Request Form for TMJ in the Clive IA area.

	Recare/Recall Appointments Call For An Appointment Now! (515) 222-0505 For Current Patients of Douglas R Pick DDS PLC Please provide us with the following contact information. We will contact you shortly to schedule an appointment at Douglas R Pick DDS PLC. Title: First name: Middle initial: Last name: I like to be called: (Sample: Mrs. Jones or Jennie) Email: Work or cell phone: *Home phone: Fax: Call me: The best time is: Do you have an immediate concern? Would you like to subscribe to our newsletter? Our email policy - We promise never to sell, barter or rent your email address to any unauthorized party. Please be aware that the information above will be sent via email. Financial Arrangements Our goal is not to let expense prevent you from benefiting from the quality of care you desire and need.	Appointments: (515) 222-0505 Douglas R Pick DDS PLC 1250 Northwest 142nd Street, Suite 201 Clive, IA 50325 General Info: work(515) 222-0505 Douglas R Pick DDS PLC 100 2nd St. NE Bondurant, IA 50035 General Info: (877) 724-5334
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