Online Appointment

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Welcome to our center for making appointments online. Please fill in the following form with your data. Privacy is guaranteed. We would be very glad to take care of your dental needs. Because of the great number of e-mails we receive, we cannot answer basic questions concerning dentistry. We also cannot provide you with specialized dental or medical opinion by e-mail.

Name:

  

Surname:

  

Company:

Contact Telephone:

  

Fax:

Your email address:

  

Address:

  

Place:

  

Postal code:

  

Cause for making the appointment:

whitening

extraction

cleaning

veneers

crowns

prosthesis

bridges

bonding

other

How did find out about us?

through internet

through TV

through magazines

other

Comment or question:

  
 

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