SAPPHIRE ORTHO - COSMETIC DENTAL CLINIC

    KOCHI, KERALA, SOUTH INDIA
     
     
  Dental Treatment Consultation

Days  
Timings
   
           
Monday - Saturday  
09:30 AM to 7:00 PM
   
Sundays  
By prior appointment
   

To make an appointment and treatment consultation please fill up the form below and submit

  Name:
  Address:
  Nationality:
  Age:
  Phone:
  Mobile Phone:
  Email-ID
 
Give a brief Description about your Dental Problems. Also designate the teeth with number as above:
Eg: Upper Right central incisor is 11 Lower Rights first molar 46
  Brief description about your dental problems:
  Any Medical Problem
(Ex. Diabetes, Hypertension, Heart ailments, medications & previous medical history etc..)
   
       
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