We offer both 1 hour in-office Zoom bleaching and take home whitening kits as seen on Extreme Makeover.    We have early morning and late evening appointments.    We are open Saturdays.    Each treatment room has cable TV, Intraoral cameras and digital x-rays.    Our office is sterilized to hospital standards.

 

 

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You now have choices.  You can either fill out our "New Patient" forms online by clicking here and print them off, or you can download the forms, print them, fill them out and bring them to our office.  Or you can just come to our office and fill them out at our office.
 

Please remember to bring your insurance card with you to your first appointment.

Click here to fill out forms online and then print them out.

Click here to download forms.

  1. form_1.pdf

  2. form_2.pdf

  3. form_3.pdf

  4. form_4.pdf

  5. form_5.pdf

Please download all 5 forms, print and then fill-out the forms.

You must have "Adobe acrobat reader" installed on your computer to be able to open and print the forms. If you don't have that program, it's available for free at:

If you are having problems downloading the forms, try filling them out online (by clicking here), or just call us and we'll e-mail or fax them to you.

Michael J. Tomita, D.D.S.,
and Stan S. Askew, D.D.S.
9750 Covington Cross Dr.,
Suite 100, Las Vegas, NV 89144
Phone: (702) 341-7979
Fax: (702) 341-9266

OFFICE HOURS:
Mon. - Thurs.: 8 am to 5pm
Friday: 8am to 1pm
Saturday: Closed

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