Dr Gonzales Dental Care
Your Name:
Phone:
E-mail:
Type of dental work needed
Bridgework
Braces
Cleaning (normal)
Cleaning (deep root)
Cosmetic Dentistry
Crown
Examination
Extraction
Filling
Implant
Root canal therapy
Bleaching
Veneers porcelain
Other:
When do you want your appointment?
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Day:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Time:
8 a.m.
9 a..m.
10 a.m.
11 a.m.
12 p.m.
1 p.m.
2 p.m.
3 p.m.
4 p.m.
5 p.m.
Payment
: Most dentists in Mexico 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 Mexico are about two thirds less than in the
U.S.If you would like a price estimate for the dental work you need,
please check this box.
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