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Your Name:

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Type of dental work needed

Bridgework Braces Bleaching
Cleaning (normal) Cleaning (deep root) Cosmetic Dentistry
Crown(s) Examination Extraction(s)
Filling(s) Implant(s) Root canal therapy
Veneers porcelain    
Other:


Additional information:
Please use the space below to let us know what you need to have done. We'll e-mail you and/or telephone regarding your appointment.

When do you want your appointment?

(Check One)
Specifically or Generally

Month: Day: Time:

Which dentist would you like the appointment with?
With Dr.



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Payment
Most dentists in Los Algodones require payment in cash at the time of service, or in the case of making a prosthesis, 50% of the estimated cost is required in advance.

Dental appointments in Los Algodones are 70% to 75% less than in the U.S.
If you would like a price estimate for the dental work you need, please check this box.

Deposit/fee

A $5. service fee is charged by MedAdvantage

A $15 security deposit is required for each confirmed appointment which is credited when you keep your dental appointment or cancel within 24 hours of the time scheduled.

Additional

We can help if needed:

  1. Find (economical) lodging
  2. Find transportation
  3. Transport you from the Yuma airport if you are flying.
  4. Provide a map right to your dentists door.

 
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