Print Envelope Share-alt Schedule your visit Book an appointment 072 252 7022 Filll in the form Will you be using Cash or Medical Aid? Cash Medical Aid What's the reason for your visit? Consultation Dental Checkup Tooth Extraction Crowns Teeth Whitening Sales Agent Other Have you visited us before? Please select No Yes Choose your preferred branch Please select Pretoria Brits Select date Select time Please select 9:00 am 10:00 am 11:00 am 12:00 pm 1:00 pm 2:00 pm 3:00 pm 4:00 pm 5:00 pm First name Last name Date of birth Sex assigned at birth Please select Male Female Email Phone Number Message I accept the Terms of Service Book an appointment >