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Submitted URL: http://www.elikulickdental.com/make-a-payment
Effective URL: https://www.elikulickdental.com/make-a-payment
Submission Tags: falconsandbox
Submission: On June 01 via api from US — Scanned from DE
Effective URL: https://www.elikulickdental.com/make-a-payment
Submission Tags: falconsandbox
Submission: On June 01 via api from US — Scanned from DE
Form analysis
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<!-- Header -->
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<div class="col-sm-12 col-md-12 col-lg-12 mod1"> <a href="/">
<div id="pnlheader">
<div id="ctl00_ctl18_CompTitle1" class="compTitle1Large">Elikashvili & Kulick Dental Associates, PLLC</div>
<div id="ctl00_ctl18_CompTitle2" class="compTitle2Small"></div>
<div id="ctl00_ctl18_CompTitle3" class="compTitle3Medium">Creating Beautiful Smiles</div>
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<div class="navbar-header"> <span class="phone-icon" style="float: left; font-size: 24px; color: #fff;"><i class="fa fa-mobile fa-1x"></i></span>
<button type="button" class="navbar-toggle" data-toggle="collapse" data-target=".navbar-collapse" id="menu-button"> <span class="icon-bar"></span> <span class="icon-bar"></span> <span class="icon-bar"></span> </button>
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<span class="hiddenPhone">
<span class="number">
<span id="ctl00_MainMenu1_HiddenPhone">2127257017</span>
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<li>
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<li>
<a href="/make-a-payment/contact/" id="ctl00_MainMenu1_hrefEmail" data-ajax="false" data-role="button" class="icon" data-inline="true" data-icon="">
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<li>
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<div class="header navbar-brand page-scroll" style="height: auto;">
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<div id="ctl00_ctl19_pnlTextBased" class="seoPhone">
<span class="span1">Call: </span><span class="span2 number">12127257017</span>
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<li id="ctl00_superfishmenu_MenuRepeater_ctl01_li">
<a href="/" id="ctl00_superfishmenu_MenuRepeater_ctl01_atag" title="Welcome">Welcome</a>
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<li id="ctl00_superfishmenu_MenuRepeater_ctl02_li">
<a href="/our-practice/" id="ctl00_superfishmenu_MenuRepeater_ctl02_atag" title="Our Practice">Our Practice</a>
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<a href="/meet-the-dentists/victoria-elikashvili-d_d_s/" id="ctl00_superfishmenu_MenuRepeater_ctl03_ctl00_ctl01_atag" title="Victoria Elikashvili, D.D.S.">Victoria Elikashvili, D.D.S.</a>
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<a href="/meet-the-dentists/beth-m-kulick-d_d_s/" id="ctl00_superfishmenu_MenuRepeater_ctl03_ctl00_ctl02_atag" title="Beth M. Kulick, D.D.S.">Beth M. Kulick, D.D.S.</a>
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<a href="/invisalign/" id="ctl00_superfishmenu_MenuRepeater_ctl04_atag" title="Invisalign">Invisalign</a>
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<li id="ctl00_superfishmenu_MenuRepeater_ctl05_ctl00_ctl01_ctl00_ctl01_li">
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<li id="ctl00_superfishmenu_MenuRepeater_ctl05_ctl00_ctl01_ctl00_ctl02_li">
<a href="/procedures/cleanings-prevention/dental-x-rays/" id="ctl00_superfishmenu_MenuRepeater_ctl05_ctl00_ctl01_ctl00_ctl02_atag" title="Dental X-Rays">Dental X-Rays</a>
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<li id="ctl00_superfishmenu_MenuRepeater_ctl05_ctl00_ctl01_ctl00_ctl03_li">
<a href="/procedures/cleanings-prevention/home-care/" id="ctl00_superfishmenu_MenuRepeater_ctl05_ctl00_ctl01_ctl00_ctl03_atag" title="Home Care">Home Care</a>
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<a href="/procedures/cleanings-prevention/how-to-properly-brush-floss/" id="ctl00_superfishmenu_MenuRepeater_ctl05_ctl00_ctl01_ctl00_ctl04_atag" title="How to Properly Brush & Floss">How to Properly Brush & Floss</a>
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<a href="/procedures/cosmetic-dentistry/" id="ctl00_superfishmenu_MenuRepeater_ctl05_ctl00_ctl02_atag" title="Cosmetic Dentistry" class="has-submenu" aria-haspopup="true" aria-controls="sm-17172007333268608-4" aria-expanded="false"><span class="sub-arrow">+</span>Cosmetic Dentistry</a>
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<a href="/procedures/cosmetic-dentistry/composite-fillings/" id="ctl00_superfishmenu_MenuRepeater_ctl05_ctl00_ctl02_ctl00_ctl01_atag" title="Composite Fillings">Composite Fillings</a>
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Elikashvili & Kulick Dental Associates, PLLC Creating Beautiful Smiles * 2127257017 * * * Call: 12127257017 12127257017 * Welcome * Our Practice * +Meet the Dentists * Victoria Elikashvili, D.D.S. * Beth M. Kulick, D.D.S. * Invisalign * +Procedures * +Cleanings & Prevention * Dental Exams & Cleanings * Dental X-Rays * Home Care * How to Properly Brush & Floss * +Cosmetic Dentistry * Composite Fillings * Porcelain Crowns (Caps) * Porcelain Fixed Bridges * Porcelain Veneers * Tooth Whitening * +Periodontal Disease * What is Periodontal (Gum) Disease? * Diagnosis * Treatment * Maintenance * +Restorations * Composite Fillings * Crowns (Caps) * Dentures & Partial Dentures * Fixed Bridges * Root Canal Therapy * FAQs * Links * Appointment Request * +Make a Payment * Contact * Dental Videos * Patient Forms * New Interim Covid-19 Safety Protocols MAKE A PAYMENT Dental Appointment Reminders powered by PracticeMojo