Order Number Please tell us who you are and how we can reach you. First Name * Last Name * Email Address * Contact Phone Number Send an SMS? If checked we will send you an SMS (text message) with your appointment information. SMS (text) charges may apply. Contact Information:Dr Tom ShaoAddress:1276 Gold Coast HwyGold Coast, QLD 4221AustraliaEmail: info@palmbeachpuresmiles.com.auPhone: 07 5520 2866