* Valid only in Florida, Georgia and Texas. Whitening coupon good in absence of gum disease. Oral exam may be required to determine contraindications to whitening. ADA D9972. Minimum fee only. Fee may vary with complexity of case. Cannot be redeemed by patients with Medicare, Medicaid, or Tricare. ADDITIONAL CHARGES MAY BE INCURRED FOR RELATED SERVICES WHICH MAY BE REQUIRED IN INDIVIDUAL CASES. (FL PATIENTS ONLY – THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR PAYMENT FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE ADVERTISEMENT FOR THE FREE, DISCOUNTED FEE, OR REDUCED FEE SERVICE, EXAMINATION, OR TREATMENT.) The dentists and hygienists are employees or independent contractors of Coast Florida, P.A., (Adam Diasti, DDS, DN12490), Coast Dental of Georgia, P.C., (Adam Diasti, DDS, DN11634) or Coast Dental of Texas, PC (Adam Diasti, DDS, Lic. 32327). Coast Dental Services, LLC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. © 2024 Coast Dental. All rights reserved. CD-102214