Appointments — Smile Squad | Las Vegas | Kid's Dentistry & Braces

Request an Appointment

Our team is excited to meet new families like yours! Fill out this quick form and we will reach out shortly.

Our mission: Be the warmest, bestest, funnest, clinically excellent kids dental office to everyday families

Positive message of the month: “A child who knows unconditional love has the greatest gift the world can offer”

Patient Name

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Phone

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Is your child experiencing pain?

Yes

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Details

Is there anything you'd like to share with us about your kid's dental experiences or current concerns? if no, feel free to skip

Tell us something fun about your child:

We want to make sure your kid(s) like us! some fun facts will help our staff bond with them:

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