Dr. Emily Torres, Dentist

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Dentist

Dr. Emily Torres, Dentist

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Total 40.00 USD

1 Your details How we can reach you
2 Extra info Additional booking questions
3 Service Choose your services
4 Date & time Pick an available slot
5 Confirm Review and submit

Your details

Full Name *

Email *

Phone *

Extra info

Patient Type *

New Patient Returning Patient

Reason for Visit *

Area of Concern

Front Teeth Back Teeth Upper Teeth Lower Teeth Gums Whole Mouth Not Sure

Pain Level *

No Pain Mild Moderate Severe

Any Known Allergy

Service

Dentist

Dentist service fields

Dental Service *

Dental Consultation - 40.00 USD Routine Dental Checkup - 50.00 USD Teeth Cleaning - 70.00 USD Dental Filling - 90.00 USD Tooth Extraction - 120.00 USD Cosmetic Consultation - 60.00 USD

Additional Dental Services

Dental X-Ray - 30.00 USD Fluoride Treatment - 25.00 USD Deep Cleaning - 25.00 USD Whitening Treatment - 100.00 USD Oral Health Screening - 20.00 USD Sensitivity Treatment - 30.00 USD

Insurance Provider *

Special Requirements

Date & time

Only available dates can be selected. Gray dates are unavailable.

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Payment

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