Saturday, 19 May 2012
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Make an Appointment
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Our Team
To request appointment availability please fill out the form below. Our scheduling coordinator will contact you to confirm your appointment.
Appointment Request
id
time_date
Please choose your appointment location:
Campus North - Raleigh
Clemmons Village West
Durham - Central Medical Park
Comprehab Plaza - Winston-Salem
Comprehab Plaza - Winston-Salem Orthodontics
Hawthorne Rd - Winston-Salem
Interchange - Raleigh
Mallard Creek
Preston Corners - Cary
South Park - Charlotte
University Place - Charlotte
Watlington Hall -Baptist Medical Center
Crown Point- Charlotte
Is there a specific date that you would prefer?
If not, is there a particular day of the week that you would like to come in?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday (Interchange location only)
What time do you prefer?
Full name:
Email address:
Phone number:
Dental Insurance Plan (ie. Aetna, MetLife, etc.):
Please describe the nature of your appoinment:
2048
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