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For Appointments
. Please kindly fill the form below and you will receive a confirmation email whether the appointment time and date you've chosen is available. Once confirmation email is received, please print and present it at the reception area on the day of your appointment. For Apple users, you can
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your confirmation email.
Thank you!
Name
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Email
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Be assured that your email address will remain confidential, however it will automatically be saved in our database.
Mobile Number
*
Philippine Mobile Numbers Only 09XX-XXX-XXXX Be assured that your mobile number will remain confidential.
Appoinment time and date
*
Clinic is open from 9:00am-6:00pm from Monday to Saturday, yet we are very flexible with the date and time depending on the procedure that needs to be done. Please indicate date in this format (MM/DD/YYYY) Please indicate time in 12hour format with am or pm. Thank you.
Submit
For any other inquiry or feedback in regards to the dental treatment offered by our clinic, you can email us and we will reply to you as soon as we can.
Name
*
首先
最后
Email
*
Be assured that your email address will remain confidential, however it will automatically be saved in our database.
Inquiry
*
Submit