DentalClinic Booking Form

Full Name *

Phone

Email *

Dental Checkup 30 min General Dentistry

$ 25.00

Consultation 30 min General Dentistry

$ 15.00

Dental X-Ray 19 min General Dentistry

$ 35.00

Teeth Whitening 90 min Cosmetic Dentistry

$ 120.00

Dental Veneer 120 min Cosmetic Dentistry

$ 200.00

Deep Cleaning 60 min Preventive Care

$ 80.00

Dental Crown 90 min Orthodontics

$ 150.00

Dental Bridge 120 min Orthodontics

$ 180.00

Root Canal Treatment 120 min Restorative Care

$ 250.00

Date *

Time *