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(647) 601 3277
9993 Yonge Street, Richmond Hill
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About Us
Services
Emergency Care
Cosmetic Dentistry
Dental Bonding
Dental Veneers
Teeth Whitening
Invisalign
Inlays and Onlays
Preventive Care
Dental Check-ups
Dental Cleaning
Pediatric Dentistry
Dental Sealants
Tooth Extraction
Gum Disease Treatment
Sedation Dentistry
Restorative Dentistry
Dental Bridges
Dental Crowns
Dental Fillings
Dental Implants
Dentures
Root Canal
Patient Registration Form
Contact
Home
About Us
Services
Emergency Care
Cosmetic Dentistry
Dental Bonding
Dental Veneers
Teeth Whitening
Invisalign
Inlays and Onlays
Preventive Care
Dental Check-ups
Dental Cleaning
Pediatric Dentistry
Dental Sealants
Tooth Extraction
Gum Disease Treatment
Sedation Dentistry
Restorative Dentistry
Dental Bridges
Dental Crowns
Dental Fillings
Dental Implants
Dentures
Root Canal
Patient Registration Form
Contact
Book Appointment
Online Booking
After filling out this form, our treatment coordinator will contact you.You can ask us about any aspects of your treatment from our treatment coordinator.
Name
Email
Phone
Do you have insurance?
Do you have insurance?
Yes
No
When was the last time you visited the dentist?
When was the last time you visited the dentist?
Less than 6 months
Less than a year
more than two years
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