Implant Enquiry

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Book your appointment with Dr. Amenien today and take the first step towards a confident smile!

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Implant Enquiries

I am(Required)

an existing client

a new client

Name(Required)

First Last

Telephone(Required)

E mail(Required)

I wish to (may select multiple boxes)(Required)

to replace one missing tooth

to replace few missing tooth

to replace all missing teeth (one jaw)

to replace all missing teeth (both jaws)

to stabilise my loose denture

I wish to repair or maintain an exisiting implant(Required)

Yes

Please select one or more items(Required)

Pus around implant

I'm in pain

Loose impant

Loose crown

Swelling

Please provide as much information as possible about your existing implant

Brand name

Platform

Diameter

Implant Crown

I wish to add: (Optional)

Upload Images, Radiographs, Reports (Optional)

Drop files here or

Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 5 MB.

Consent(Required)

I consent to my personal data being collected and stored as per the privacy policy for the purpose of my treatment and communications.

Phone

This field is for validation purposes and should be left unchanged.

Contact
Opposite Angel Underground Station in London
0207 837 3938
reception@angelsmile.co.uk

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Opening Hours

Mon: 8:00 – 19.00

Tue: 8:30 – 18.00

Wed: 8:00 – 19.00

Thu: 8:30 – 18.00

Fri: 8:30 – 19.00

Sat: 9.00 – 17.00

Sun: with previous arrangement

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