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                  Comprehensive Dental Services, P.C., Queens
                  • External link opens in new tab or windowQueens Location 718/271-2500
                  • External link opens in new tab or windowEmergency/Text 917/822-7711

                  Supermoon 2020



                  Things to do to prepare for Teledentistry Evaluation, Fill out forms below and Submit



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                                 Informed Consent




                  I am acknowledging that I wish to receive a teledentistry consultation with my dentist.  In the absence of radiographs (x-rays), I understand that I may be asked to send photographs or other documentation as requested by the dentist.  I will try to provide as much detailed if I can. I understand that the doctor is limited to what they are to  determine n these circumstances. I also understand if I am experiencing pain or swelling that is life threatening, I will call 911 or go to an emergency room. I understand that I am responsible for any payment resulting from this consultation that is not covered by a dental insurance plan.


                  Place Initials to confirm that you have read, then click Submit Form




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                  Dental Insurance Information


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                  Insurance Company Name

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                  Insurance Company Address




                  Two Locations

                  94-18 59th ave
                  Suite E3
                  Elmhurst, NY 11373


                  2171 Jericho Turnpike
                  Suite 235
                  Commack, NY  11725




                  External link opens in new tab or windowSchedule a Teledentistry Evaluation

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                  Check out our Contact/Hours page for some changes to our office hours.


                  Queens location will now be messaging you from our new cell number, 917/209-9616 add us to your contacts. 




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                  • External link opens in new tab or window 7182712500
                  • External link opens in new tab or window info@drgrillo.com
                  • External link opens in new tab or window 94-18 59th ave, suite E3, Elmhurst , NY, 11373
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