Inschrijven bij de Haagse Tandarts | Tandartsenpraktijk in Den Haag

Register at The Hague Dentist/De Haagse Tandarts

Please fill out the form and we will contact you.

Yes, I would like to register

inschrijven (ENGELS)

Gender *

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First name *

Last name *

Date of birth *

BSN

Street and number *

Postal code *

Place *

Email *

Phone *

How did you find us?

via a friend, relative, collegue

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Remarks

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Bring any up to date X-rays.

Did your current or former dentist take X-rays of your teeth no more than two years ago? If so, please bring them along for our introductory consultation. No photos? No problem at all, we’ll make them if needed.

Do you suffer from dental anxiety?

Do you suffer from dental anxiety and are you considering registering with us? Please read about our specialisation in dental anxiety counselling→