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Online quotation and treatment plan

To prepare your treatment plan, please fill up a quick form below and send us a panoramic X-ray or a current treatment plan from your dentist. You can send the panoramic X-ray by post or simply by email. If you have a difficulty with sending an X-ray via email, please contact your Personal Assistant.

After receiving this documents from you within 3 working days, our dentists will provide you with a treatment plan containing specific time schedule and price breakdown in few options (if available). Both such diagnosis and calculations are FREE of charge and there is no obligation to any dental treatment.

The information provided will be transferred to our server via a safe connection system SSL and will be available only to professionals and medical staff and treated as strictly confidential.
DENTISTRY Information request form
  • Name *
  • E-mail *
  • Telephone *
  • Country
  • Your Age
  • Dental work required
    Required number of replies: 1 - 8
  • How did you hear about us
  • Your enquiry
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