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Happily Welcoming New Families!
703-978-5660
703-978-0423

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Our Practice
Meet our Team
Services
Reviews
Smile Gallery
Forms
Referrals
Make an Appointment

Home
Our Practice
Meet our Team
Services
Reviews
Smile Gallery
Forms
Referrals
Make an Appointment

PERSONALIZED DENTAL CARE

Forms

REQUEST AN APPOINTMENT

Forms at Northern Virginia Smiles Family & Cosmetic Dentistry

Click below to download and print:

Patient Registration Form
Financial Policy
Acknowledge Receipt of Privacy Practices
Cancellation Policy

What Our Patients Say

 Rated 5 out of 5

Shirley S.

This office is wonderful. The dentist’s are superior. The dental assistant’s and hygienist’s do a great job. I have gone to this office for almost 40 years. They are the best.

 Rated 5 out of 5

Athena T.

I have been a patient at Dr. Gyuricza’s Dental Practice for 28 years. Even when I moved to MD, I still continue to show up for appointments. Selma, my hygienist is thorough with examination of my teeth and gums before and after cleaning, always perfect. My big thanks Dr. Anderson for giving me a status report of her findings, positive and what to improve on.

 Rated 5 out of 5

John W.

Just amazing – care – attention – interaction – excellent clinical diagnosis – Practical and fair cost effective options –

 Rated 5 out of 5

john s.

I have been going to this office for 40 years. Also top notch service.

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