Seattle Dentist    Richard Stickney DDS PS   Holistic Dentistry   

2107 Elliott Avenue Suite 210
Seattle WA 98121
New Appointments (888) 338-4197
General Information
(206) 728-1330
home
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
meet the dentist
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
what we offer
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
map & hours
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
ask the dentist
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
appointments
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
newsletter sign up
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
financial options
  Richard Stickney DDS

Please call (888) 338-4197 to schedule an appointment.

For New Patients


Just complete the following form and one of our team members will contact you as soon as possible to schedule a convenient time for your first appointment.

Please provide the following contact information:

Title & First name

Last name

Middle initial

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Work/cell phone

Home phone

Call me

Best time is

How did you hear
about us?

FAX

E-mail
Referred by (Mrs. Jones)

 

We respect your email privacy. We promise to never sell, barter or rent your email address to any unauthorized third party.  Please be aware that the information above will be sent via email and/or fax.

Dentist
In Seattle Washington and the surrounding
Bellevue - Kirkland - Edmonds - Issaquah WA areas.

Copyright 2007     Internet Dental Alliance, Inc.

Terms of Use
Home   Meet the Dentist   What we offer   Map & Hours   Appointments   Ask the dentist   Newsletter Signup   Financing