Secure Payment Form

First Name: Last Name: Phone Number: E-Mail: Amount:

Smile Hub Dental’s payment processing is SSL-secure and processes payments securely. When submitted, our staff will update your balance within 24 hours. Please review the refund policy and proceed accordingly.

Smile Hub Dental is committed to patient satisfaction. Should you owe an outstanding balance, feel free to use this secure payment system; or stop into any of our convenient locations, or give us a quick call. Thank you for being our loyal patient. Hope to see you again soon!

Thank you for your payment. Updated balances are reflected on the account within 48 business day hours. All payments apply to services completely rendered and deemed satisfactory to the payer. In the event LINH K. NGUYEN DDS PLLC discovers or is notified of an over-payment, the excess amount will be credited back. Credit card statements reflect LINH K. NGUYEN DDS PLLC.

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