OC Dental Center - Our Services

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Email

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Question

	Cosmetic Dentistry

	Zoom2 - Teeth Whitening System Invisalign - the invisible braces Dental Implants


Corrective Procedures

	Complete Orthodontics for Children and Adults Functional Appliances Endodontic - Root Canal Therapy Porcelain and Metal Crowns


	Survey

We appreciate you taking the time to complete our survey. Please feel free to comment on your visit as well. Any comments you choose to make are kept strictly confidential and can only help us become better in the future.

Name:

Email:

How would you rate your overall visit?

Excellent Very Good Average Not so good

After your appointment, did you have a good understanding of your dental situation?

Yes Not really I wish I knew more about my situation

Were your financial options explained to you?

Yes No I already understand my financial options

Did you have to wait over 15 minutes past your appointment time to be seated? If so how long?

No 15 to 30 minutes 30 to 45 minutes Over 45 minutes

Did the staff greet you to your satisfaction?

Yes Not really I don't recall

Would you refer your friends and family to us?

Yes No I'm not sure

Comments or special requests:

Please complete the above form and click "Submit" at the bottom. As always your contact information will be kept strictly confidential. We will call you back shortly.

	Schedule an appointment today, and start smiling tomorrow.
	OC Dental Center 2700 S. Bristol Street South Coast Metro, CA – 92704 Telephone (714) - 966-9000 Fax (714) - 966-1010 E-mai info@OCdentalcenter.com

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