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601 SE 117th Ave., STE 150
Vancouver, WA 98683

360.443.5593
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Mon-Thurs 8:00AM-5:00PM
(Closed for lunch 12:30pm – 1:30pm)

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Patient Name*

Parent Name*

Phone Number*

Email*

Age of Child*

Is your child an existing patient or new patient?*

Who is the insurance provider?*

Please note: We do not accept Provider One/ Medicaid dental insurance for new patients at this time

Please mark which days of the week would work for an appointment.*

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Tuesday

Wednesday

Thursday

Please indicate which time of day would work best for an appointment.*

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Payment, Insurance, Billing and Financing Options

At Must Love Kids®, we want to make it as easy as possible for parents to provide their kids with the best pediatric dental care possible. That’s why we accept most major dental insurance plans, including:

Moda Health, Regency, MetLife, Guardian, Delta Dental, Cigna, Blue Cross Blue Shield, Aetna, and more.

For your benefit, we offer several payment and financing options at Must Love Kids®. Long-term financing with low-interest rates is available through CareCredit, and we also happily accept Visa, MasterCard, American Express, and Discover.

Special Offers

Win a $100 Visa Gift Card

We are giving away a $100 Visa Gift Card (for you) and a kids electric toothbrush (for your friend).

At Must Love Kids^®; we’re giving you more reasons than ever to refer a friend, family member, or coworker to our Vancouver pediatric dentist office with our new Refer a Friend Program. Simply pass along our referral card to anyone who could use the services of the best pediatric dentist in Vancouver, and when they come in with the card for their scheduled appointment, you’re automatically entered into a drawing to win a $100 Visa Gift Card. Drawings take place on a monthly basis, so the more people you refer, the better your odds of winning become!

For more information on the rules and requirements of our Refer a Friend Program, be sure to ask any member of our Must Love Kids staff during your next appointment.