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REGISTRATION
On-line registration
For on-line registration to a visit, please fill the form bellow and we will contact You in one hour (in working hours). Fields marked with an asterisk
*
are required!
*
Name, Surname:
*
Contact phone:
E-mail:
*
Desired time of visit:
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09:00
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*
Purpose of visit :
Consultation
Hygiene
Therapy
Because of Pain
Extracting the Teeth
Prosthetics
Implantology
Additional information:
Are You our current patient:
yes
no
Desired doctor:
No matter!
Inese Lukina-Perro
Sanda Dūca
Dace Pinka
Agnese Pušpure
Ģirts Klēvers
Other doctor
Date of last visit:
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© 2005 DENTAL.LV, SIA
Address:
Kr. Barona Street 79, Riga, Latvia, LV-1001 |
Phone
: +371 67 292 833 |
E-mail:
info@dental.lv
|
Skype
: dental.lv
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