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Why Choose Us?

When you smile, we smile

Digital Impressions / Pictures

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Patient's Age

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Patients's Name *

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Does your patient have any special considerations?

Address *

Doctor's Name *

Best Contact Number *

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Material

CAD-CAM

Alloy

E max

PFM

Zirconia

Gold Crown

Occlusal Contacts

None

Light

Normal

Heavy

DATE REQUIRED *

Type of Restoration

Crown

Bridge

Denture/Partial

Bite plane (upper or lower)

Essix retainer (upper or lower)

Custom tray

RETURN APPOINTMENT DATE , if known *

Sex

Male

Female

Appointment Type

Try-in

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282 Bedford Hwy, Halifax, Nova Scotia B3M, Canada

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