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Dentistry of San Francisco, General & Cosmetic Dentist Dr. Joseph DDS.
Best San Francisco Bay Area General & Cosmetic Dentist. Awarded as America's Top Dentist. 5 star Google patient reviews
Best San Francisco Bay Area General & Cosmetic Dentist. Awarded as America's Top Dentist. 5 star Google patient reviews


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Dr. Joseph has been recognized and named by Invisalign as the Preferred Doctor for Invisalign, leading incredible smile transformations in San Francisco.

Discover the before and after transformations of two people who changed more than just their smiles with Invisalign treatment, stories are shared here:

Start planning your next step by scheduling your complimentary smile consultation at Dentistry of San Francisco!
Questions? Email us at
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Today's spotlight: Cosmetic Dentistry

Dr. Joseph is a member of The Academy of Cosmetic Dentistry.

Cosmetic dentistry is dentistry aimed at creating a positive change to your teeth and to your smile. The American Academy of Cosmetic Dentistry (AACD) is the primary dental resource for patients as they strive to maintain their health, function, and appearance for their lifetime. We believe that esthetic dentistry must complement the overall general and oral health of the patient. Learn more

Cosmetic Procedures

Smile enhancement can have dramatic results on your overall appearance; even the smallest step can boost your confidence, self-esteem, and make you want to smile more. With modern advances in dentistry, cosmetic procedures can range from a basic color correction to replacing missing teeth, and everything in between.

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Veneers Smile Consultation with Dr. Joseph

"One of the best factors about cosmetic dentistry is personalization. It's important to understand what patients are looking for. When designing custom Veneers for my patients, I take into consideration their entire facial aesthetics. For instance, how they talk, how high their actual smile goes vs an exaggerated smile, their facial expressions, and their oral health. It's important patients get the smile they desire, that's healthy and functionable, just as natural healthy teeth would be. We want to make it look as natural as possible." - Dr. Joseph, Cosmetic Dentist

Dental veneers are thin shells of porcelain or composite resin that are custom made to fit over teeth, providing a natural, attractive look. They can be used to fix chipped, stained, misaligned, worn down, uneven or abnormally spaced teeth.

For teeth that are severely discolored, chipped or misshapen, veneers create a durable and pleasing smile. Plus, veneers are difficult to stain, making them popular for people seeking a perfect smile.

3 Notable Benefits of Veneers:

Pro #1: Easily Whiten Your Smile

Years of drinking coffee, smoking cigarettes or eating highly pigmented foods eventually take their toll on your teeth, turning them an unattractive shade of yellow or brown. Stained enamel can be bleached at home or by your dentist, but it can become stained again. If you're looking for an easier way to whiten your smile for good, dental veneers may be a good fit for you. Veneers are largely stain-resistant, according to the National Institutes of Health (NIH), so you won't have to worry about discoloration or needing to have your veneers whitened.

Pro #2: Fix Minor Cosmetic Problems

Slightly crooked or gapped teeth can be treated with braces or other orthodontic treatments, but according to Dentistry Today, these problems can sometimes be helped with veneers as well. Veneers are attached to the front surfaces of your teeth – so although they don't change their positions, they do camouflage minor orthodontic problems once they're applied. Your natural teeth may still be gapped or crooked, but nobody will know aside from you and your dentist.

Pro #3: Replace Damaged Enamel

Enamel is strong, but not indestructible. Your enamel may still be worn down from overzealous tooth brushing or eaten away by highly acidic foods and drinks. The stomach acid associated with acid reflux disease can also damage your enamel. This can become a cause for concern, because lost enamel doesn't grow back. Fortunately, it can be replaced. Veneers are an excellent treatment for teeth with enamel abrasion or enamel erosion, according to the American Academy of Cosmetic Dentistry and are aesthetically pleasing at the same time.

To schedule an appointment email us at or contact us online at


#BestCosmeticDentist #SFCosmeticDentist #SanFranciscoCosmeticDentist #BestVeneersDentistBayArea #BestBayAreaCosmeticDentist #Veneers #BestSanFranciscoDentist #SFVeneers
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Women’s Health and Overall Health

Is There a Link Between My Oral Health and My Overall Health?

The Surgeon General's Report on Oral Health states that good oral health is essential to good general health. And specifically for women, a growing body of research has linked gum disease to a variety of health problems that affect women. Because gum disease is a bacterial infection, it can enter the bloodstream and may be a factor in causing other health complications:

Heart disease: People with gum disease may be more at risk for heart disease and have nearly twice the risk of having a fatal heart attack. Heart disease is also the number one killer of American women.1
Stroke: One study found a casual relationship of oral infections as a risk factor for stroke.

Diabetes: People with diabetes are more likely to have gum disease and may make it more difficult for diabetics to control their blood sugar. Gum disease may also be a risk factor for diabetes, even in otherwise healthy indviduals.3
Respiratory problems: Bacteria that grow in the oral cavity can travel to the lungs causing respiratory disease such as pneumonia - especially in people with gum disease.

Pregnancy outcomes: Pregnant women who have gum disease may be more likely to have a baby born too early or too small. Gum disease may also trigger increased levels of biological fluids that induce labor.

Because gum disease is usually painless, many women may not even realize they have it until it reaches an advanced state. Your best defense is to brush and floss daily and see your dentist regularly.

How do My Oral Health Needs Change Throughout My Life?

Women have special oral health requirements during the unique phases in their lives. Changes in female hormone levels during puberty, menstruation, pregnancy and menopause exaggerate the way gums react to plaque. So at these times, women need to be especially thorough when brushing and flossing every day in order to prevent gum disease.

Other important information you should know:

Menstruation — some women find that their gums swell and bleed prior to their periods, while others experience cold sores or canker sores. These symptoms usually go away once your period starts.

Oral contraceptives — inflamed gums are one of the most common side effects.
Pregnancy — studies show many pregnant women experience pregnancy gingivitis, when dental plaque builds up on the teeth and irritates the gums. Symptoms include red, inflamed and bleeding gums. Prenatal care is especially important.

Menopause — oral symptoms experienced during this stage of a women's life include red or inflamed gums, oral pain and discomfort, burning sensations, altered taste sensations and dry mouth.

Osteoporosis — a number of studies have suggested a link between osteoporosis and bone loss in the jaw. Researchers suggest this may lead to tooth loss because the density of the bone that supports teeth may be decreased. When combined with gum disease, osteoporosis speeds up the process of bone loss around the teeth.

If you're experiencing any symptoms or have any questions please contact us to schedule an appointment

Questions? Email us:

1National Women's Health Resource Center, February, 2000.
2The American Academy of Periodontology, June 5, 2000.
3The American Academy of Periodontology, January 17, 2001.
4The American Academy of Periodontology, May 15, 2000.

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Have Sudden Tooth Pain?

7 Possible Reasons Why Your Teeth Hurt (Other Than a Cavity), by +WomensHealthMag

Soreness doesn't always mean you've got some drilling in store.

There's nothing more aggravating or borderline debilitating than tooth irritation. And along with the pesky pain comes the daunting reality that you could have a dentist appointment in your near future involving novocaine, a root canal, and a three-day recovery. But before you call out of work, line up your Netflix cue, and beg a friend to come over for support, it’s important to consider the many reasons why that pain coming from your pearly whites might not be cavity-related at all. “Toothache or tooth pain can be the result of a myriad of causes other than a simple cavity,” says Gerry Curatola, dentist and founder of Rejuvenation Dentistry and RealSelf advisor. “That’s why it’s important to be discerning and attentive to what type of pain it is, where it’s coming from, and when it’s happening.”

To help you pinpoint the issue and avoid experiencing unnecessary anxiety, we got the lowdown on the other reasons you might be experiencing dental discomfort.

1. You Brush Too Hard and It’s Led to Gum Recession
Of course you want to get those puppies as clean as a whistle, but applying too much pressure or brushing too aggressively can actually lead to more problems—and pain. “Doing this wears away at the actual tooth structure, as well as the recession of the gums that normally covers the root of the tooth,” says Ira Handschuh, dentist at the Dental Design Center in White Plains, New York. You may notice extreme sensitivity to eating and drinking cold items, which is due to your root structure being more exposed. While you can’t “undo” the damage caused by over-brushing, you can make an appointment with your dentist, who can place tooth-colored fillings on the areas where the tooth has worn away, says Handschuh. “Sometimes even placing a gum graft to build the gums back to the height they were originally is also possible,” he says. Your best bet to avoid this fate altogether: Invest in a high quality electronic toothbrush or a manual extra-soft bristled brush, and dial back the pressure.

2. You Have a Gum Infection
If you’ve been told that you have periodontal (gum) disease, you’re far from alone. In fact, nearly half of the U.S. adult population 30 and older has mild, moderate, or severe periodontitis, according to the Centers for Disease Control and Prevention (CDC). But even if you’re lucky enough to not have it, you can still contract a gum infection. “This occurs when germs or bacteria enter the teeth or gum area and multiply to a point where the body cannot fight off the bad bacteria,” says Melissa Thompson, a Massachusetts-based dentist and owner of three Aspen Dental practices. “The infection may cause pain or swelling, a small pimple above the tooth or area, the release of pus, or even a bad taste in the mouth.” As soon as you notice any of these signs, it’s best to get to your dentist’s office, stat. “Gum infection may lead to an abscess, which can cause even worse pain,” says Handschuh. “Your dentist will have to clean out the gum region around the infected tooth and prescribe antibiotics and oral rinses immediately.”

3. You’ve Experienced Tooth Trauma
You might be thinking that, if this were the case, you’d know right away, but surprisingly, tooth trauma can be the result of an incident that happened many years ago. “This can entail anything from falling and hitting the teeth, being in a car accident where there’s a force to the mouth or jaw, or even chewing on some type of food that traumatizes the tooth,” says Handschuh. Along with tooth trauma or a tooth fracture comes increased pain and sensitivity when chewing, which causes the tooth to flex and irritates the nerve endings within the tooth. “If a patient were to fall and hit or damage a tooth, their dentist would need to keep watch on that tooth with regular follow-ups and X-rays to make sure there’s no infection and also that the nerve inside the tooth is not dying,” says Thompson. If the tooth has died as a result of trauma, signs would include discoloration on the outside of the tooth and temperature sensitivity. “A root canal and crown is typically the treatment recommended for a dead tooth, and, if the tooth needed to be removed, implanting a bridge or removable appliance such as a partial denture would be the next step,” she says.

4. You Have a Severe Sinus Infection
Especially during allergy and flu season, a sinus infection may creep up in a way that doesn’t even feel like a normal one. “Since the roots of certain teeth actually sit right by the sinuses, the pressure from a sinus infection actually mirrors tooth pain,” says Handschuh. “Instead of dental treatment, one would need medication like a decongestant and possible antibiotic prescribed by their family physician.”

5. You Grind or Clench Your Teeth While Sleeping
Maybe a significant other has already clued you into the fact that you have this habit, but it can cause more than just annoyance to your bed partner. “In some cases, chronic teeth grinding can result in a fractured or loose tooth,” says Handschuh. “So it’s very important to have your teeth evaluated by your dentist so he or she can examine the way your teeth fit together, and consider whether or not any of them are hitting too hard or too early.” An imbalance in where your teeth meet when they grind together is what can cause problems like tooth and muscle pain. “There are many ways to treat this type of pain, one of which might be the use of a night guard, which assists in removing forces off of some teeth and placing the forces evenly throughout the oral cavity,” he says.

6. You Recently Had Fillings or Drillings Done to a Tooth
If this is the case, you may notice sharp sensitivity when biting down in the area that you had work done. “When teeth are drilled, you may experience sensitivity to cold for a couple of weeks, which is normal, but if there is sensitivity when you bite, especially on hard substances, an adjustment may be needed so that you are chewing more evenly,” says Thompson. Since you’ll most likely notice this occurrence after you’ve already left your dentist’s office, you’ll have to schedule a follow-up visit so that your dentist can check on the bite and make minor adjustments to alleviate the pain. “Your dentist will adjust the bite if needed, and if it’s temperature-sensitive, they may place a topical fluoride or desensitizing paste on the area,” says Thompson.

7. You Have a Cracked Tooth
This can be caused by a number of things, including biting into something hard that causes the tooth to crack, an injury from something outside the mouth, like falling or an accident, or even tooth clenching and grinding. “If there is a crack, the tooth pain could be experienced when biting down, chewing, or even drinking something hot or cold,” says Thompson. If the crack is to one of your front teeth, you may be able to actually see the damage, but if it is to the back teeth, visibility might be more difficult. Visit your dentist’s office right away so he or she can examine or restore the area before the crack worsens—and immediately stop chewing on anything hard. “If it’s due to jaw clenching and teeth grinding, a custom-made night guard will be recommended to protect the teeth from future trauma,” says Thompson.

The bottom line: Tooth pain might have a simple, easy-to-treat cause or it may be more complicated, so it’s best to always play it safe and head to your dentist’s office for an evaluation. “If left untreated, some tooth pain and infections can lead to life-threatening concerns and can spread throughout the body, causing an even greater infection,” says Handschuh. Follow up with your regular dental care appointments every six months (or more frequently if recommended by your dentist) to avoid these more serious scenarios. “Have an open, honest dialogue with your dentist to set up a commitment to keep your mouth healthy and pain-free for your entire life,” says Handschuh.

If you have any questions or are experiencing any symptoms please contact us at or online at

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What is an Implant Supported Denture?

An implant-supported denture is a type of overdenture that is supported by and attached to implants. A regular denture rests on the gums, and is not supported by implants.

An implant-supported denture is used when a person doesn't have any teeth in the jaw, but has enough bone in the jaw to support implants. An implant-supported denture has special attachments that snap onto attachments on the implants.

Implant-supported dentures usually are made for the lower jaw because regular dentures tend to be less stable there. Usually, a regular denture made to fit an upper jaw is quite stable on its own and doesn't need the extra support offered by implants. However, you can receive an implant-supported denture in either the upper or lower jaw.

You should remove an implant-supported denture daily to clean the denture and gum area. Just as with regular dentures, you should not sleep with the implant-supported dentures at night. Some people prefer to have fixed (permanent) crown and bridgework in their mouths that can't be removed. Your dentist will consider your particular needs and preferences when suggesting fixed or removable options.

How Does It Work?

There are two types of implant-supported dentures: bar-retained and ball-retained. In both cases, the denture will be made of an acrylic base that will look like gums. Porcelain or acrylic teeth that look like natural teeth are attached to the base. Both types of dentures need at least two implants for support.

Bar-retained dentures — A thin metal bar that follows the curve of your jaw is attached to two to five implants that have been placed in your jawbone. Clips or other types of attachments are fitted to the bar, the denture or both. The denture fits over the bar and is securely clipped into place by the attachments.

Ball-retained dentures (stud-attachment dentures) — Each implant in the jawbone holds a metal attachment that fits into another attachment on the denture. In most cases, the attachments on the implants are ball-shaped ("male" attachments), and they fit into sockets ("female" attachments) on the denture. In some cases, the denture holds the male attachments and the implants hold the female ones.

The Implant Process

The implants usually are placed in the jawbone at the front of your mouth because there tends to be more bone in the front of the jaw than in the back. This usually is true even if teeth have been missing for some time. Once you lose teeth, you begin to lose bone in the area. Also, the front jaw doesn't have many nerves or other structures that could interfere with the placement of implants.

The time frame to complete the implant depends on many factors. The shortest time frame is about five months in the lower jaw and seven months in the upper jaw. This includes surgeries and the placement of the denture. However, the process can last a year or more, especially if you need bone grafting or other preliminary procedures.

Two surgeries usually are needed. The first one places the implants in the jawbone under your gums. The second surgery exposes the tops of the implants. The second procedure comes three to six months after the first.

A one-stage procedure is now used sometimes. In this procedure, your dentist can place the implants and the supporting bar in one step. The success rate of this procedure is high.

Initial consultation
Before any work is done, you will visit either a dental specialist called a prosthodontist or a general dentist who has advanced training in the placement and restoration of implants.

During the exam, the dentist will review your medical and dental histories, take X-rays and create impressions of your teeth and gums so that models can be made. In some cases, the dentist may order a computed tomography (CT) scan of your mouth. This shows where your sinuses (located above your upper teeth) and nerves are. It allows the dentist to make sure they will not be affected by the implant placement. A CT scan also may be done to see how much bone is available and to determine the best locations for the implants.

If you are not already wearing a complete denture to replace your missing teeth, your dentist will make you one. You will use this temporary denture until the implant-supported denture is placed. It will take about four visits, spanning several weeks, to complete this denture. By making this temporary denture, your dentist is able to determine the best position for the teeth in the final denture. The temporary denture also can be used as a backup if something happens to the final implant-supported denture. The temporary denture can also be used as the final denture to reduce overall costs. Attachments will need to be added so it can fit securely to the implants.

Once the temporary denture is finished, the surgeon will use a copy of it as a guide to help place the implants in the proper positions. Holes will be drilled in the copy of the denture so that the surgeon can see where the implants should be placed.

First surgery
Month 1 (if no denture needs to be made)
Month 2 (if denture needs to be made)

The first surgery involves placing the implants in the jawbone. During the first surgery, an incision is made in the gum where the implant will be placed. A hole is drilled in the bone, the implant is placed into the hole, and the incision is stitched closed.

After this surgery, you should avoid putting pressure on the implants. The temporary denture can be made so that direct pressure is placed on other areas, not on the implants. It may also be given a soft reline (new lining next to your gums) to help to reduce the pressure on your gums.

After the first surgery, the dentist will wait three or four months if implants were placed in the lower jaw, and five or six months if they were placed in the upper jaw, before scheduling the second surgery. During this time, the bone and the implants integrate.

What Can You Expect From Your Implant-Supported Denture?

Your implant-supported denture will be more stable than a regular denture. You will find it easier to speak and you won't have to worry about the denture becoming loose or falling out of your mouth. You generally will be able to eat foods you could not eat before. However, you will not be able to chew hard or sticky foods because they can damage the denture.

If you have an implant-supported denture in your upper jaw, it can be made to cover less of your palate (roof of your mouth) than a regular denture. That's because the implants are holding it in place instead of the suction created between the full denture and your palate.


#BestSFImplantDentist #BestSFDentureDentist #SFImplantDentist #SFDentureDentist #BestSFDentist #SFDentist #SanFranciscoDentist #SFDentalClinic #AffordableImplantsSF
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Wear a mouthguard – if you’re playing any contact sports, wearing a mouthguard can help protect your teeth from injury and trauma

Avoid hard foods and candies – to help protect your teeth from injury while eating, avoid biting hard candies and ice

A toothache can come on suddenly and disrupt your day. When severe pain hits, it may be hard to focus on anything else. In fact, severe tooth pain qualifies as a dental emergency. The type of emergency toothache relief you receive depends on severity of your condition. Your dentist might be able to treat the cause of the pain at the office, or you may be referred to a dental specialist for advanced treatment.

A sudden toothache may be caused by a dental infection, called an abscess, either at the very tip of the root or along the side of the tooth. The American Association of Endodontists notes that an aching mouth or jaw, swollen gums, and pain while chewing are symptoms of an abscessed tooth. Usually, an infection at the end of a tooth requires a root canal procedure.

In simple cases, your general dentist can remove the contents of the tooth, clean out the infection and fill the space with a rubber-like dental material. However, if the root canal procedure is complex, the general dentist may refer you to an endodontist, who is a root canal specialist. They can clean out the root canals, seal the area, and prepare the tooth for a crown, which is placed during an appointment with the general dentist. Once the top part of the tooth is protected with a crown or other restoration, the tooth can function normally and without pain.

On rare occasions, however, the tooth may not be salvageable. In these cases, a general dentist or oral surgeon extracts the tooth that is causing the pain. You and a dental professional can discuss replacing the tooth with a dental implant.

Toothache Relief Through Medication

In some cases, an antibiotic or pain medication is prescribed to treat the infection and to help relieve the pain. Always consult a dentist before taking any over-the-counter pain relievers. Even though your toothache may make your mouth sensitive, it's key to keep up with your good oral hygiene habits. Brush gently twice daily and consider adding a mouthwash, such as Colgate Total Pro-Shield, to your routine. It kills 99 percent of germs on contact with no burn of alcohol.

Your dentist or a dental specialist can provide emergency toothache relief, but preventing the need for an emergency appointment is best. Regular visits to your dentist and good oral hygiene may prevent any future dental emergencies and lead you to a lifetime of healthy smiles.

If you have any questions, please contact us at or visit us at to book online.


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Veneers are routinely used to fix:

Teeth that are discolored -- either because of root canal treatment; stains from tetracycline or other drugs, excessive fluoride or other causes; or the presence of large resin fillings that have discolored the tooth
Teeth that are worn down
Teeth that are chipped or broken
Teeth that are misaligned, uneven, or irregularly shaped (for example, have craters or bulges in them)
Teeth with gaps between them (to close the space between these teeth)
What Are the Advantages of Dental Veneers?

Veneers offer the following advantages:
They provide a natural tooth appearance.
Gum tissue tolerates porcelain well.
Porcelain veneers are stain resistant.
The color of a porcelain veneer can be selected such that it makes dark teeth appear whiter.
Veneers offer a conservative approach to changing a tooth's color and shape; veneers generally don't require the extensive shaping prior to the procedure that crowns do, yet offer a stronger, more aesthetic alternative.
If you’d like to learn more about Veneers and the best options for you, contact us here.

To schedule a smile consultation, contact us at or email us at


Have you seen our reviews? Check out our 5-Star Reviews on
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Dr. Joseph has been named as a Preferred Provider for Invisalign in San Francisco Silicon Valley Bay Area, California.

Here are a few tips from our partners at on how to live your life and transform your smile with Dr. Joseph,

1.Don’t stop living your life

Keep eating all your favorite foods.
Stay active in all the sports and activities you love.
Keep brushing and flossing just as you normally do, with no brackets or wires to get in the way.
You'll experience fewer emergency visits, without the hassle of brackets and wires breaking.
Your Invisalign clear aligners are virtually invisible, so people may not even notice you’re wearing them.

2. Wearing your aligners

You'll be ready for anything, from movie night to coffee with friends. Just take your aligners out to eat and drink, then brush your teeth before putting them back in.
Wear your Invisalign clear aligners 20 to 22 hours a day for best results.
Parents, your teen's aligners will have blue compliance indicators to assure you they’re wearing them enough.

3. Getting new sets of aligners

You'll wear each set of aligners for one to two weeks, as prescribed by your doctor.
You’ll probably schedule check-ups every six to eight weeks to check your progress and pick up the next batch of aligners.
When you start wearing each new set of aligners, you may feel a little extra pressure or discomfort for the first few days, which is totally normal.

4. Cleaning your aligners

Rinse your aligners every night and brush them gently with your toothbrush to keep them fresh and clean.
You can also use the Invisalign cleaning system to keep your aligners clear.

Schedule Your Appointment Today:
Ask us how you can get a complimentary smile consultation with your next cleaning and exam.


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April is #OralCancerAwarness Month. It's important everyone get an Oral Cancer screening every 6 months during their visit to the Dentist for early detection and prevention.

While smoking and tobacco use are still major risk factors, the fastest growing segment of oral cancer patients are young, healthy, nonsmoking individuals due to the connection to the HPV virus, according to the Oral Cancer Foundation. HPV is the same virus responsible for the majority of cervical cancers in women.

Dentistry of San Francisco uses Velscope technology to aid in the detection of oral cancer:

“The VELscope® Vx handheld device emits a harmless, bright blue light which is used to inspect the mouth and tongue. The device is sensitive to abnormal tissue changes and the distinctive blue-spectrum light causes the soft tissue (oral mucosa) of the mouth to naturally fluoresce. Healthy tissues fluoresce in distinct patterns that may be visibly disrupted when tissue undergoes an abnormal change (which can occur in the oral mucosa for a multitude of reasons,) such as when associated with dysplasia or oral cancer.”

A screening can be completed in 5 minutes or less.

Contact our office to schedule your appointment today. Email:

Book Online:

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