Headache Pain Craniofacial
Throbbing TMJ Migraine Pain
TMJ Syndrome Cure Marketing
Internet Pain Treatment Marketing
Craniomandibular Alternatives
Practice Sign Up Form
Enhanced - $20.00 per month
* Indicates a required field
Practice Name:
Specialty:
*First name:
*Lastname:
Degree:
*Address1:
Address2:
*City, State, Zip:
*County:
*Office Phone:
*Required for billing - Fax:
Publish Fax (Y/N)
* Email address:
Not Published
Website URL:
Services Included:
MRI Analysis
CatScan Analysis
EMG Analysis
Tomogram Studies
Sonogram Studies
Transcranial X-Rays
Cephalometric X-Rays
Pain Medications
TENS treatment
Multidisciplinary Diagnostics
Multidisciplinary Treatment
TMJ/TMD Pain
Craniofacial Pain
Migraine Pain
Other Pain (please state):
Neuromuscular Dentistry
NTI/tss Appliance
Other appliances (please state):
Other services (please state):
Emergencies
Wheelchair Accessible
Patients with Special Needs
Enter days/hours of operation, special hours, etc.
Insurances accepted - charge cards, financing:
Credenials:
Professional Affilations and activities, awards, publications:
Special Technologies, favorite procedures, new technology,etc.:
Practice Description:
I am interested in receiving free patient referrals via Email
I am interested in being listed in the Neuromuscular Dentistry Directory
12 Month Subscription invoice will be faxed after listing is active in the directory
Payment is due within 10 calendar days
Return to Signup Page
Home
Find
Subscribe
Contact
Links
Headahce Pain TMJ Treatment Directory
TMD/TRJ Craniofacial Pain Internet Marketing
Diagnostic and Treatment Practice Subscription