Review your treatment plan details below. If everything looks correct, click "Generate PDF" to download the final document.
Dr. Larry A. Fisher, DDS
sixcornersfamilydental.com
Date:
Name: Ashley Hidalgo
Date of Birth: 1994-03-24
Phone: 2014216298
Email: hidalgoash24@gmail.com
Practice: Six Corners Family Dental
Dentist: Dr. Larry A. Fisher, DDS
Address: 140 NJ-17 N #314, Paramus, NJ 07652
| Procedure | Timeline | Cost |
|---|---|---|
| Initial Visit | $175.00 | |
| Botox | $680.00 | |
| Total Cost: | $855.00 | |
SIX CORNERS FAMILY DENTAL
4949 W. Irving Park Rd, Chicago, IL 60641 | (773) 782-4508
sixcornersfamilydental.com | info@sixcornersfamilydental.com
Disclaimer: Prices may vary upon further consultation. Subject to insurance approvals. Valid for 90 days from the date shown above.