• New Patient Offer

    All New Patients receive a FREE Sonicare EasyClean® ($89.99 Value) or Sonicare For Kids® ($69.99 Value) rechargeable toothbrush upon completion of their new patient exam, films, and cleaning.

    Complete the form below or call our office to take advantage of this offer!


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Cosmetic Analysis

For a cosmetic analysis, simply complete the form below and someone from our dental team will contact you soon.


What do you have concerns about? (please check all that apply)

Back Teeth
Color of Teeth
Discolored Restorations (i.e. existing crowns, fillings, bonding)
Front Teeth
Gaps or Spaces between Teeth
Position of Teeth (crooked or crowded)
Shape of Teeth
Show too much Gum
Size of Teeth
Symmetry of Teeth
Teeth Chipped or Broken
Inflamed or Bleeding Gums



What do you like best about your smile?

What do you like least about your smile?

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"My family and I absolutely love Brook West Family Dentistry! Going to the dentist is not always fun and can be costly. The staff have Brook West are so friendly and accommodating. They have evening and weekend appointments, they plan your treatment and visits, and they remember you! My family and I would like to thank you for being so kind and caring. I thank the person who referred me to you and I will refer anyone that needs a dentist. "
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