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J. Thomas Russell, DDS

    General Dentist
    1030 Xenia Avenue,PO Box 839
    Yellow Springs, Ohio
    937.767.7731     

 

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OSU Dental Clinic Forms

  • File

    Dental_Care_Application.pdf

     (898K)
    Dental Care Application for Patients with Limited Income To apply for Dental Care on a sliding fee scale, please print and complete the application below. Mail to the address listed on the application and please allow 5-6 weeks for your approval letter. You can obtain directions to clinic with this Widget--Just enter an address

  • File

    FindingOSUDentistry.pdf

     (256K)
    This is an Adobe Acrobat file that prints two pages of good directions to the Ohio State University College of Dentistry