*All fields must be completed to receive requested information.
I understand that the names that are sent to me are for personal use only. The Pinhole Academy and Dr. John Chao only give out the names of dentists that have been certified to perform the Pinhole Surgical Technique and DO NOT endorse individual dentists.
I understand that the names given to me cannot be used for commercial or solicitation purposes or legal ramifications may apply.
We reserve the right to use and to disclose to third parties all of the information that we collect from you over the telephone or online, in any way and for any purpose. Once you have selected a new dentist, either by telephone or through the use of our website, we may share your personally identifiable information with the dentists names we give you.