, EDIT1. Confirm LocationWe've determined that this is the closest Refresh Dental office to your location. Would you like to make a new patient appointment request: , Location , Hours Owned and Operated by: YesNo 2. Who is this exam for?Are you an existing patient?YesNo Call Are you 18 years of age or older?YesNo Please Call 3. Select a Day and TimeCommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.