Smile Studio
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Cosmetic Dentistry
General Dentistry
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Deep Bleaching
Before & After Cases
Students & Faculty Dental Registration and Medical History Form

Notice of Privacy Practices

Privacy Practices & Financial Agreement Acknowledgement Form

The above linked forms are available in PDF format. To download the files, right click and choose "Save Target As..." to save the file.

Adobe Acrobat Reader is a free download that can be used to view the forms. It can be downloaded for free here.
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Smile Studio, L.L.C.– Michael J. Cushman, D.D.S.
3356 Fifth Avenue, Suite 100 • Pittsburgh, PA 15213-3133
412-682-6700 • Fax: 412-682-3246

This site has been designed and developed by Laick Design