eastin center for cosmetic dentistry

New Patient Forms

We are always welcoming new patients to our practice. Please select the form that's right for you:

Click here if you are looking for a dentist and would like to learn more about us, schedule a new patient exam and tour our office.

Click here if you have already scheduled your new patient exam and need to provide us with your health history and insurance information.

Click for more information on the dental care that's right for you

In working with you and your staff, I can honestly say that for the first time, I actually looked forward to my dental visits.

Curtis Eastin, DDS, ND
Center For Modern Dentistry
1250 Ironwood Drive
Coeur d'Alene, ID 83814
(208) 667-4844