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4<title>Dentist in Black Rock VIC | Bayside Smiles | We Welcome Your Call</title>
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76<div class="mobile-site-title">Bayside Smiles</div>
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132<li class="home">
133<a href="/" title="Home" >Home</a>
134</li>
135<li class="dropdown about">
136<a href="/about-us" class="dropdown-toggle" data-toggle="dropdown" role="button" aria-expanded="false" >
137About
138<span class="caret"></span>
139</a>
140<ul class="dropdown-menu dropdown-click list-unstyled">
141<li><a class="nav-link" href="/about-us">Our Team</a></li>
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143<a href="/technology" class="nav-link" >Amenities & Technology</a>
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148<a href="/services" title="..." >General</a>
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152<ul class="col-md-12 list-unstyled">
153<li class="visible-xs">
154<a href="/services" title="View All..." class="nav-link" >View All</a>
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156<li><a href="/services/general-dentistry/35777" title="General Dentistry..." class="nav-link" data-id="35777">General Dentistry</a></li>
157<li><a href="/services/sleep-apnoea-snoring/36413" title="Sleep Apnoea & Snoring..." class="nav-link" data-id="36413">Sleep Apnoea & Snoring</a></li>
158<li><a href="/services/gum-disease-treatment/35778" title="Gum Disease Treatment..." class="nav-link" data-id="35778">Gum Disease Treatment</a></li>
159<li><a href="/services/tmd-treatment/36412" title="TMD Treatment..." class="nav-link" data-id="36412">TMD Treatment</a></li>
160<li><a href="/services/root-canal-therapy/35786" title="Root Canal Therapy..." class="nav-link" data-id="35786">Root Canal Therapy</a></li>
161<li><a href="/services/dental-fillings/35785" title="Dental Fillings..." class="nav-link" data-id="35785">Dental Fillings</a></li>
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164</div>
165</ul>
166</li>
167<li class="services-35795 yamm-fw" >
168<a href="/services/emergency-dentistry/35795" title="Emergency">
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171</li>
172<li class="services-35780 yamm-fw" >
173<a href="/services/childrens-dentistry/35780" title="Childrens Dentistry">
174Kids
175</a>
176</li>
177<li class="services-36382 dropdown yamm-fw" >
178<a href="/services/implants/36382" title="Implants">
179Implants
180</a>
181<ul class="dropdown-menu">
182<div class="yamm-content">
183<div class="row">
184<ul class="col-md-12 list-unstyled">
185<li class="visible-xs">
186<a href="/services/implants/36382" title="Implants" class="nav-link">
187View All
188</a>
189</li>
190<li>
191<a href="/services/dental-implants/35782" title="Dental Implants..." class="nav-link" data-id="35782">Dental Implants</a>
192</li>
193<li>
194<a href="/services/allon4/35783" title="All-On-4..." class="nav-link" data-id="35783">All-On-4</a>
195</li>
196</ul>
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198</div>
199</ul>
200</li>
201<li class="services-36381 yamm-fw" >
202<a href="/services/orthodontics/36381" title="Orthodontics">
203Orthodontics
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206<li class="services-36383 dropdown yamm-fw" >
207<a href="/services/cosmetic/36383" title="Cosmetic">
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210<ul class="dropdown-menu">
211<div class="yamm-content">
212<div class="row">
213<ul class="col-md-12 list-unstyled">
214<li class="visible-xs">
215<a href="/services/cosmetic/36383" title="Cosmetic" class="nav-link">
216View All
217</a>
218</li>
219<li>
220<a href="/services/teeth-whitening/36416" title="Teeth Whitening..." class="nav-link" data-id="36416">Teeth Whitening</a>
221</li>
222<li>
223<a href="/services/smile-rejuvenation/35789" title="Smile Rejuvenation..." class="nav-link" data-id="35789">Smile Rejuvenation</a>
224</li>
225<li>
226<a href="/services/restorative-dentistry/35781" title="Restorative Dentistry..." class="nav-link" data-id="35781">Restorative Dentistry</a>
227</li>
228<li>
229<a href="/services/dentures/35788" title="Dentures..." class="nav-link" data-id="35788">Dentures</a>
230</li>
231<li>
232<a href="/services/dental-veneers/35790" title="Dental Veneers..." class="nav-link" data-id="35790">Dental Veneers</a>
233</li>
234<li>
235<a href="/services/cosmetic-dentistry/35784" title="Cosmetic Dentistry..." class="nav-link" data-id="35784">Cosmetic Dentistry</a>
236</li>
237</ul>
238</div>
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240</ul>
241</li>
242<li class="dropdown yamm-fw gallery">
243<a href="/smile-gallery" >Gallery</a>
244</li>
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251<div class="yamm-content">
252<div class="row">
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255<a href="/patient-information" title="View Patient Info" class="nav-link" >View Patient Info</a>
256</li>
257<li><a href="/first-visit" title="Your First Visit" class="nav-link" >Your First Visit</a></li>
258<li><a href="/forms" class="nav-link" >Forms</a></li>
259<li><a href="/financial-info" title="Payment Plans" class="nav-link" >Payment Plans</a></li>
260<li><a href="/faqs" title="FAQs" class="nav-link" >FAQs</a></li>
261<li><a href="/blog" title="Blog" class="nav-link" >Blog</a></li>
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264</div>
265</ul>
266</li>
267<li id="current" class=" contact">
268<a href="/contact" title="Contact" >Contact</a>
269</li>
270</ul>
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274</div>
275<div class="section-wrap hidden-xs" id="header-wrap">
276<div class="container">
277<header id="branding">
278<div class="row hidden-xs">
279<div class="col-sm-6">
280<div class="site-title">Bayside Smiles</div>
281<div class="slogan">A Great Dentist</div>
282<div class="branding-info hidden-default"></div>
283<div class="branding-info-4 hidden-default"></div>
284</div>
285<div class="col-sm-6 col-right">
286<div class="make-an-appt">
287<a class="gpw-booking" href="https://healthengine.com.au/book/35000" target="_blank">
288<span class="glyphicon glyphicon-calendar"></span>
289Book online
290</a>
291</div>
292<div class="social-links">
293<a class="facebook" target="_blank" href="https://www.facebook.com/baysidesmilesdentist/" title="Like us on Facebook">Like us on Facebook</a>
294<a class="instagram" target="_blank" href="https://www.instagram.com/baysidesmilesdentist/" title="Instagram">Instagram</a>
295</div>
296<div class="phone-number">
297<a href="tel:0123456789" onclick="gdw.recordCall(0123456789);">01 2345 6789</a>
298</div>
299<div class="slogan2">General and Aesthetic Dentistry</div>
300<div class="branding-info-2 hidden-default"></div>
301<div class="branding-info-3 hidden-default"></div>
302<div class="external-link">
303<a target="_blank" href="https://www.centaurportal.com/d4w/org-2920/search?sourceID=null"></a>
304</div>
305</div>
306</div>
307</header>
308</div>
309</div>
310<div class="section-wrap" id="breadcrumbs-wrap">
311<div class="container">
312<div class="bread-wrap">
313<div id="bread-crumbs" class="row">
314<div class="col-sm-12">
315<a href="https://www.baysidesmiles.com.au">Bayside Smiles</a> > <a href="https://www.baysidesmiles.com.au/contact">Contact Us Bayside Smiles - Black Rock</a>
316</div>
317</div>
318</div>
319</div>
320</div>
321<div class="section-wrap" id="banner-wrap">
322<div class="container">
323<div id="banner-snip" class="row hidden-xs">
324<div class="col-sm-12">
325<div id="homepage-banner" class="banner">
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328<div class="bannerSubheader"></div>
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338<div class="gpw-location-banner module-center theme-bg-light">
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345Contact Us Bayside Smiles - Black Rock
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583<span class="theme-hover-cta-color">(03) 9598 2100</span>
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686<p>Bayside Smiles was established in 2006 by a local family for local families. Since our humble beginnings, we have grown into a dedicated team of dentists and team members, caring for our communities in Black Rock (since 2006).</p>
687<p>&nbsp;</p>
688<h5>Goals for Our Dental Practice</h5>
689<p>Our vision is to be the community&#39;s most loved and respected dental practice. We aim to do this by providing the most caring dentistry imaginable, tailored to each patient&#39;s needs, focusing on modern techniques, longevity and optimal health.</p>
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705Dr Michael Letham, BDS (Hons)
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716Dr Henry Yang, BDS (Hons)
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727Dr Mihir Hargovan, BDS (Hons), MClinDent (UK)
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731See Complete Bio
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738Dr Becky Liefting
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747<img src="/thedentalsitecontent/1003953/dentists/dr-nayna-mistry-dentist-moorabbin.jpg" class="img-responsive" alt="Dr Mistry is a dentist moorabbin">
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749Dr Nayna Mistry, BChD
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836</div>
837<div class="bootstrap-flex-col col-sm-4 gpw-services-list">
838<span class="link-wrap bootstrap-flex-content"><a href="/services/teeth-whitening/36416" title="Teeth Whitening..." class="theme-color-dk" data-id="36416">Teeth Whitening</a></span>
839</div>
840<div class="bootstrap-flex-col col-sm-4 gpw-services-list">
841<span class="link-wrap bootstrap-flex-content"><a href="/services/smile-rejuvenation/35789" title="Smile Rejuvenation..." class="theme-color-dk" data-id="35789">Smile Rejuvenation</a></span>
842</div>
843<div class="bootstrap-flex-col col-sm-4 gpw-services-list">
844<span class="link-wrap bootstrap-flex-content"><a href="/services/dental-veneers/35790" title="Dental Veneers..." class="theme-color-dk" data-id="35790">Dental Veneers</a></span>
845</div>
846<div class="bootstrap-flex-col col-sm-4 gpw-services-list">
847<span class="link-wrap bootstrap-flex-content"><a href="/services/dentures/35788" title="Dentures..." class="theme-color-dk" data-id="35788">Dentures</a></span>
848</div>
849</div>
850</div>
851</div>
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988</main>
989<aside class="section-wrap visible-xs" id="social-wrap" aria-label="Social Media Links">
990<div class="container">
991<div class="social-links">
992</div>
993</div>
994</aside>
995<footer id="footer-snip" class="hidden-xs themer-footer footer-adaptive">
996<div class="top-bar">
997<div class="container">
998<div class="row bootstrap-flex-row location-wrap-single">
999<div class="col-sm-6 col-md-3 bootstrap-flex-col">
1000<div class="location-name footer-header">
1001Bayside Smiles - Black Rock
1002</div>
1003<div class="address-wrap">
1004<a class="single-loc footerAddressLink" target="_blank" href="https://maps.google.com/maps?f=q&source=s_q&hl=en&geocode=&q=104+Bluff+Road+Black+Rock+VIC+3193">
1005104 Bluff Road
1006<br/>
1007Black Rock, VIC 3193
1008</a>
1009<div class="footerPhoneWrap">
1010<b>Phone:&nbsp;</b>
1011<a href="tel:0395982100" onclick="gdw.recordCall(0395982100);">
1012(03) 9598 2100
1013</a>
1014</div>
1015</div>
1016</div>
1017<div class="col-sm-6 col-md-3 bootstrap-flex-col">
1018<div class="hours">
1019<div class="footer-header">Hours</div>
1020<div class="Mon-wrap single-day-hours">
1021<div class="singleDay">
1022<span class="officeDay">Mon </span>
1023<div class="open-hours">
1024<time class="time-wrap" datetime="Mo 08:00 - 18:00">
10258:00AM - 6:00PM
1026</time>
1027</div>
1028</div>
1029</div>
1030<div class="Tue-wrap single-day-hours">
1031<div class="singleDay">
1032<span class="officeDay">Tue </span>
1033<div class="open-hours">
1034<time class="time-wrap" datetime="Tu 08:00 - 18:00">
10358:00AM - 6:00PM
1036</time>
1037</div>
1038</div>
1039</div>
1040<div class="Wed-wrap single-day-hours">
1041<div class="singleDay">
1042<span class="officeDay">Wed </span>
1043<div class="open-hours">
1044<time class="time-wrap" datetime="We 09:00 - 18:00">
10459:00AM - 6:00PM
1046</time>
1047</div>
1048</div>
1049</div>
1050<div class="Thu-wrap single-day-hours">
1051<div class="singleDay">
1052<span class="officeDay">Thu </span>
1053<div class="open-hours">
1054<time class="time-wrap" datetime="Th 08:00 - 18:00">
10558:00AM - 6:00PM
1056</time>
1057</div>
1058</div>
1059</div>
1060<div class="Fri-wrap single-day-hours">
1061<div class="singleDay">
1062<span class="officeDay">Fri </span>
1063<div class="open-hours">
1064<time class="time-wrap" datetime="Fr 08:00 - 13:00">
10658:00AM - 1:00PM
1066</time>
1067</div>
1068</div>
1069</div>
1070<div class="Sat-wrap single-day-hours">
1071<div class="singleDay">
1072<span class="officeDay">Sat </span>
1073<div class="open-hours">
1074<em>Closed</em>
1075</div>
1076</div>
1077</div>
1078<div class="Sun-wrap single-day-hours">
1079<div class="singleDay">
1080<span class="officeDay">Sun </span>
1081<div class="open-hours">
1082<em>Closed</em>
1083</div>
1084</div>
1085</div>
1086</div>
1087</div>
1088<div class="col-sm-4 bootstrap-flex-col">
1089<div class="footer-header header-spacing-top">Follow Us</div>
1090<div class="footer-social">
1091<div class="social-links">
1092<a class="facebook" target="_blank" href="https://www.facebook.com/baysidesmilesdentist/" title="Like us on Facebook">Like us on Facebook</a>
1093<a class="instagram" target="_blank" href="https://www.instagram.com/baysidesmilesdentist/" title="Instagram">Instagram</a>
1094</div>
1095</div>
1096<div class="contact-us">
1097<a href="/contact" title="Contact" >Contact</a>
1098</div>
1099<div class="medical-disclaimer">
1100</div>
1101<div class="aus-disclaimer">
1102Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.
1103</div>
1104</div>
1105</div>
1106</div>
1107</div>
1108<div class="bottom-bar">
1109<div class="container">
1110<div class="row">
1111<div class="col-sm-9 footer-col">
1112<div class="footer-nav">
1113<a href="/about-us">About</a>
1114<a href="/services">General</a>
1115<a href="/smile-gallery">Gallery</a>
1116<a href="/blog">Blog</a>
1117<a href="/technology">Amenities & Technology</a>
1118<a href="/financial-info">Payment Plans</a>
1119<a href="/patient-information">Patient Info</a>
1120</div>
1121<div class="footer-nav">
1122<a href="/first-visit">Your First Visit</a>
1123<a href="/forms">Forms</a>
1124<a href="/faqs">FAQs</a>
1125<a href="/contact">Contact</a>
1126<a href="/sitemap">Sitemap</a>
1127<a href="/privacy-policy">Privacy Policy</a>
1128</div>
1129<div class="footer-services">
1130<a href="/services/general-dentistry/35777" title="General Dentistry..." >General Dentistry</a>
1131<a href="/services/emergency-dentistry/35795" title="Emergency Dentistry..." >Emergency Dentistry</a>
1132<a href="/services/childrens-dentistry/35780" title="Childrens Dentistry..." >Childrens Dentistry</a>
1133<a href="/services/cosmetic-dentistry/35784" title="Cosmetic Dentistry..." >Cosmetic Dentistry</a>
1134<a href="/services/implants/36382" title="Implants..." >Implants</a>
1135<a href="/services/orthodontics/36381" title="Orthodontics..." >Orthodontics</a>
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1137</div>
1138<div class="footer-services">
1139<a href="/services/sleep-apnoea-snoring/36413" title="Sleep Apnoea & Snoring..." >Sleep Apnoea & Snoring</a>
1140<a href="/services/teeth-whitening/36416" title="Teeth Whitening..." >Teeth Whitening</a>
1141<a href="/services/gum-disease-treatment/35778" title="Gum Disease Treatment..." >Gum Disease Treatment</a>
1142<a href="/services/tmd-treatment/36412" title="TMD Treatment..." >TMD Treatment</a>
1143<a href="/services/cosmetic/36383" title="Cosmetic..." >Cosmetic</a>
1144<a href="/services/smile-rejuvenation/35789" title="Smile Rejuvenation..." >Smile Rejuvenation</a>
1145<a href="/services" title="View More Services">View More Services</a>
1146</div>
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1148<div class="col-sm-3 footer-copyright text-right footer-col">
1149<div class="copy-right">
1150All rights reserved.
1151</div>
1152<div class="log-in">
1153<a rel="nofollow" href="/security/login">Login</a>
1154</div>
1155<div class="made-by"><a rel="nofollow" target="_blank" href="https://www.greatdentalwebsites.com.au" title="Great Dental Websites - websites for dentists">Made by Great Dental Websites</a></div>
1156</div>
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1159</div>
1160</footer>
1161<footer id="mobile-disclaimers" class="visible-xs" role="contentinfo">
1162<div class="container">
1163<div class="medical-disclaimer">
1164</div>
1165<div class="aus-disclaimer">
1166Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.
1167</div>
1168<a href="/main/privacy">Privacy Policy</a>
1169</div>
1170</footer>
1171</div>
1172<div class="thanks-modal modal fade small-modal" data-backdrop="static">
1173<div class="modal-dialog">
1174<div class="modal-content">
1175<div class="modal-body">
1176</div>
1177<button type="button" class="btn btn-confirm thanks-modal-submit" data-dismiss="modal">OK!</button>
1178</div>
1179</div>
1180</div>
1181<div class="modal fade" id="modalOffer" tabindex="-1" role="dialog" aria-labelledby="modalOffer" aria-hidden="true">
1182<div class="modal-dialog">
1183<div class="modal-content">
1184<button type="button" class="close circle-close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button>
1185<div class="modal-body" >
1186<div>
1187</div>
1188</div>
1189</div>
1190</div>
1191</div>
1192<div class="modal fade" id="gpw-contact-modal" tabindex="-1" role="dialog" aria-labelledby="gpw-contact-modal">
1193<div class="modal-dialog" role="document">
1194<div class="modal-content">
1195<div class="modal-header pod">
1196<button type= "button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button>
1197<div class="modal-title" id="gpw-contact-modal">Contact Us Today</div>
1198</div>
1199<div class="modal-body">
1200<div class="give_call">
1201<div class="modal-title">Give Us A Call</div>
1202<div>Bayside Smiles - Black Rock - <a href="tel:0123456789" onclick="gdw.recordCall(0123456789);">01 2345 6789</a></div>
1203</div>
1204<div class="send_email">
1205<div class="modal-title">
1205Send Us an Email</div>
1206<style type="text/css">
1207.recaptcha-statement {
1208font-size: 12px;
1209margin-top: 15px;
1210margin-bottom: 10px;
1211}
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1237<div class="contact-form">
1238<div style="display: none;" id="modal-customFormWrap" aria-hidden="true">
1239<iframe id="modal-customForm" src="" width="100%"
1240height="550" style="border:none;" title="Location Contact Form"></iframe>
1241</div>
1242<form style="display: none;" role="form" action="/email/sendContactForm"
1243autocomplete="off" id="modal-contactform"
1244method="post" name="contactform" class="form-horizontal">
1245<input type="hidden" id="modal-utm_campaign" name="utm_campaign" value="">
1246<input type="hidden" id="modal-utm_content" name="utm_content" value="">
1247<input type="hidden" id="modal-utm_source" name="utm_source" value="">
1248<input type="hidden" id="modal-utm_term" name="utm_term" value="">
1249<input type="hidden" id="modal-utm_medium" name="utm_medium" value="">
1250<input type="hidden" id="modal-currentEvent" name="currentEvent" value="contact.default">
1251<input type="hidden" id="modal-currentURL" name="currentURL">
1252<input type="hidden" name="locationID" id="modal-locationID" value="4176">
1253<input type="hidden" name="pageTitle" id="modal-pageTitle" value="Contact Us Bayside Smiles - Black Rock">
1254<input type="hidden" name="contactForm" value='contactpage'>
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1256<div class="col-xs-12">
1257<label for="modal-appt_radio" class="radio-inline">
1258<input class="conradio" type="radio" name="contacttype" value="appt" id="modal-appt_radio" checked="checked" />
1259<span>
1260Book Now
1261</span>
1262</label>
1263<label for="modal-contact_radio" class="radio-inline">
1264<input class="conradio" type="radio" name="contacttype" value="contact" id="modal-contact_radio" />
1265<span>Contact Us</span>
1266</label>
1267</div>
1268</div>
1269<div class="col-xs-12">
1270<div class="gpw-3rd-Party theme-border-cta">
1271<div class="contact-form-headline">Ready to Schedule an Appointment?</div>
1272<a class="appt-btn cta-btn gpw-banner-cta-btn theme-cta-bg theme-cta-color theme-border-cta theme-hover-cta-color theme-hover-cta-bg theme-hover-border-cta" href="https://healthengine.com.au/book/35000" target="_blank">
1273Book Now
1274</a>
1275</div>
1276</div>
1277<div class="contact-form-headline">Have Questions? Contact Us:</div>
1278<hr>
1279<div class="form-group">
1280<div class="col-sm-12">
1281<label for="modal-fullname" class="required">Full Name <span class="req-indicator">* (Req)</span></label>
1282<input placeholder="Your Name (First and Last)" class="form-control required textField" type="text" maxlength="100" name="fullname" id="modal-fullname"/>
1283</div>
1284<input class="form-control" style="display:none" type="text" name="middlename" id="modal-middlename" value="" />
1285<div class="phone-group col-sm-12 col-md-6" style="padding-top: 10px;">
1286<label for="modal-phone">Phone</label>
1287<input placeholder="Phone" class="form-control text-input textField mar-top-5" type="text" maxlength="100" name="phone" id="modal-phone"/>
1288</div>
1289<div class="email-group col-sm-12 col-md-6" style="padding-top: 10px;">
1290<label for="modal-email" class="required">Email <span class="req-indicator">* (Req)</span></label>
1291<input placeholder="Email" class="form-control required email text-input textField mar-top-5" type="email" maxlength="100" name="email" id="modal-email"/>
1292</div>
1293</div>
1294<div class="form-group">
1295<div class="col-sm-12">
1296<fieldset class="patient-type-group" role="radiogroup">
1297<legend class="label-style">Are you a?</legend>
1298<span class="patient-radios" style="display: inline-block">
1299<label for="modal-newPatient" class="patient-radio radio-inline">
1300<input class="conradio" type="radio" name="newOrExisting" id="modal-newPatient" value="New Patient" >
1301<span>New Patient </span>
1302</label>
1303<label for="modal-existingPatient" class="patient-radio radio-inline">
1304<input class="conradio" type="radio" name="newOrExisting" id="modal-existingPatient" value="Current Patient" >
1305<span>Current Patient</span>
1306</label>
1307</span>
1308</fieldset>
1309</div>
1310</div>
1311<div class="col-sm-12 col-md-6 select">
1312<label for="modal-howToContact">
1313How would you like us to contact you?
1314</label>
1315<select name="howToContact" id="modal-howToContact" class="how-contact">
1316<option value="">Please choose</option>
1317<option value="Email">Email</option>
1318<option value="Call">Call</option>
1319</select>
1320</div>
1321<div class="col-sm-12 col-md-6 select-right">
1322<label for="modal-howHeardAbout">
1323How did you hear about us?
1324</label>
1325<select name="howHeardAbout" id="modal-howHeardAbout" class="how-heard" onchange="referralSelect()">
1326<option value="">Please choose</option>
1327<option value="I'm an existing patient">I'm an existing patient</option>
1328<option value="Google/Bing">Google/Bing</option>
1329<option value="Mailer">Mailer</option>
1330<option value="Word of mouth">Word of mouth</option>
1331<option value="Social media">Social media</option>
1332<option value="Other">Other</option>
1333</select>
1334<label class="sr-only" for="modal-referral">Who Referred You?:</label>
1335<input placeholder="Who referred you?" class="text-input textField who-referred mar-top-5" style="display: none;" type="text" maxlength="100" name="referral" id="modal-referral"/>
1336</div>
1337<div id="modal-appointment">
1338<div class="form-group">
1339<div class="col-xs-12">
1340<label for="modal-appointmentType">Appointment Type?</label>
1341</div>
1342<div class="col-xs-12">
1343<select name="appointmentType" id="modal-appointmentType" class="appt-type">
1344<option value="">Please choose</option>
1345<option value="New Patient Cleaning/Exam">New Patient Cleaning/Exam</option>
1346<option value="New Patient Consultation">New Patient Consultation</option>
1347<option value="Existing Patient Continuing Care">Existing Patient Continuing Care</option>
1348<option value="Dental Representative Meeting Request">Dental Representative Meeting Request</option>
1349<option value="Other">Other</option>
1350</select>
1351</div>
1352</div>
1353<div class="form-group">
1354<div class="col-xs-12">
1355<span class="label-style">Appointment Preferences</span>
1356</div>
1357<div class="col-xs-12">
1358<div id="modal-days-location_4176" class="location-days checkbox-wrap">
1359<div class="day-of-week">
1360<div class="checkbox">
1361<input type="checkbox" value="Monday" class="checkbox" name="appointmentday" id="modal-mon" />
1362<label for="modal-mon">Monday</label>
1363</div>
1364</div>
1365<div class="day-of-week">
1366<div class="checkbox">
1367<input type="checkbox" value="Tuesday" class="checkbox" name="appointmentday" id="modal-tue" />
1368<label for="modal-tue">Tuesday</label>
1369</div>
1370</div>
1371<div class="day-of-week">
1372<div class="checkbox">
1373<input type="checkbox" value="Wednesday" class="checkbox" name="appointmentday" id="modal-wed" />
1374<label for="modal-wed">Wednesday</label>
1375</div>
1376</div>
1377<div class="day-of-week">
1378<div class="checkbox">
1379<input type="checkbox" value="Thursday" class="checkbox" name="appointmentday" id="modal-thu" />
1380<label for="modal-thu">Thursday</label>
1381</div>
1382</div>
1383<div class="day-of-week">
1384<div class="checkbox">
1385<input type="checkbox" value="Friday" class="checkbox" name="appointmentday" id="modal-fri" />
1386<label for="modal-fri">Friday</label>
1387</div>
1388</div>
1389</div>
1390</div>
1391</div>
1392</div>
1393<div class="form-group">
1394<div class="col-sm-12 ">
1395<label for="modal-message">Additional Comments</label>
1396<textarea placeholder="How can we help you?" cols="40" rows="4" class="form-control text-input textField" id="modal-message" name="message">
1397</textarea>
1398</div>
1399</div>
1400<div class="form-group">
1401<div class="col-xs-12 contact-notes">
1402</div>
1403</div>
1404<div class="form-group">
1405<div class="recaptcha-statement">
1406This site is protected by reCAPTCHA and the Google <a href="https://policies.google.com/privacy" target="_blank">Privacy Policy</a> and <a href="https://policies.google.com/terms" target="_blank">Terms of Service</a> apply.
1407</div>
1408<div class="required-hint">Required Field</div>
1409<div id="modal-contact-form-errors" role="alert" aria-live="polite" aria-atomic="true"></div>
1410<div class="col-xs-12 submit-area">
1411<input class="cta-btn gpw-banner-cta-btn theme-cta-bg theme-cta-color theme-border-cta theme-hover-cta-color theme-hover-cta-bg theme-hover-border-cta btn btn-default submit-contact g-recaptcha" type="button" id="modal-submitter" name="submitter" value="Submit" data-sitekey="6LfLLO4aAAAAAGGfIiRkFVZ-wthfWmeOm5uzpNMF" data-callback="checkReCAPTCHAResponsemodal" data-action="contactForm" />
1412<button type="button" class="cta-btn gpw-banner-cta-btn theme-cta-bg theme-cta-color theme-border-cta theme-hover-cta-color theme-hover-cta-bg theme-hover-border-cta btn btn-default submit-contact" disabled style="display: none;background: #54575C;margin-bottom: 10px" id="modal-submitterDisabled">Sending...</button>
1413</div>
1414</div>
1415</form>
1416</div>
vendor: 65 bytes, lines 1416-1417
1416
1417<script src='https://www.google.com/recaptcha/api.js'></script>
1418<script type="application/json" class="gpw-contact-form-config">{"formPrefix":"modal-","currentLocationID":4176}</script>
1418
1419</div>
1420</div>
1421</div>
1422</div>
1423</div>
1424</div>
1425<div id="gallery-testimonial-modal" class="modal fade" tabindex="-1" role="dialog" aria-labelledby="gallery-testimonial-modal">
1426<div class="modal-dialog">
1427<div class="modal-content">
1428<div class="modal-header pod">
1429<button type= "button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button>
1430<div class="modal-title">This Patient's Experience</div>
1431</div>
1432<div class="modal-body">
1433<div id="gpw-loading-testimonial" style="display: none;">
1434<span class="fa-stack fa-3x">
1435<i class="fa fa-comment-o fa-stack-2x theme-color-dk" aria-hidden="true"></i>
1436<i class="fa fa-spinner fa-stack-1x fa-spin theme-color-med" aria-hidden="true"></i>
1437</span>
1438<div class="theme-color-dk">Loading Testimonial...</div>
1439</div>
1440<div id="gpw-loading-gallery" style="display: none;">
1441<i class="fa gallery fa-spinner fa-spin fa-4x theme-color-med" aria-hidden="true"></i>
1442<div class="theme-color-dk">Loading Case...</div>
1443</div>
1444<div id="gallery-testimonial-modal-content"></div>
1445</div>
1446</div>
1447</div>
1448</div>
1449<script src="/js/gpw-public.min.js" type="text/javascript"></script>
vendor: 1 bytes, line 1449
1449
1450<script src="/js/jquery.validate/jquery.validate.min.js"></script>
vendor: 1 bytes, line 1450
1450
1451<script src="/js/jquery.validate/additional-methods.min.js"></script>
vendor: 1 bytes, line 1451
1451
1452<script src="/js/gdw-fixednav.js"></script>
vendor: 1 bytes, line 1452
1452
1453<script>
1454(g=>{var h,a,k,p="The Google Maps JavaScript API",c="google",l="importLibrary",q="__ib__",m=document,b=window;b=b[c]||(b[c]={});var d=b.maps||(b.maps={}),r=new Set,e=new URLSearchParams,u=()=>h||(h=new Promise(async(f,n)=>{await (a=m.createElement("script"));e.set("libraries",[...r]+"");for(k in g)e.set(k.replace(/[A-Z]/g,t=>"_"+t[0].toLowerCase()),g[k]);e.set("callback",c+".maps."+q);a.src=`https://maps.${c}apis.com/maps/api/js?`+e;d[q]=f;a.onerror=()=>h=n(Error(p+" could not load."));a.nonce=m.querySelector("script[nonce]")?.nonce||"";m.head.append(a)}));d[l]?console.warn(p+" only loads once. Ignoring:",g):d[l]=(f,...n)=>r.add(f)&&u().then(()=>d[l](f,...n))})({
1455key: "AIzaSyDRBl_xfRqKd3V9y1outwWednxZvrRXKUc",
1456v: "weekly",
1457});
1458</script>
vendor: 1 bytes, line 1458
1458
1459<script defer src="https://connect.podium.com/widget.js#ORG_TOKEN=69274077-b70f-460c-ba31-64bada6392a9" id="podium-widget" data-organization-api-token="69274077-b70f-460c-ba31-64bada6392a9"></script>
vendor: 1 bytes, line 1459
1459
1460<script type="text/javascript" src="//cdn.callrail.com/companies/217987725/dcdb54c170d5460018e6/12/swap.js"></script>
1460
1461</body>
1462</html>

Line numbers count LF bytes from the start of the resource, as the search results do. Vendor segments are library code the classifier recognised; they are stored but not indexed. Bytes are shown as Latin1 characters, one per byte.