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PEDIATRIC & SPECIAL NEEDS

*All information provided will be kept confidential.

We will not disclose your personal information without your consent, unless we are required or authorized to do so by law or other regulation.

FOR ASSOCIATE DENTISTS &

WEEKDAY APPOINTMENTS WITH OUR CHIEF SPECIALIST

FOR  WEEKEND APPOINTMENTS

WITH OUR CHIEF SPECIALIST

APPOINTMENT INFORMATION

Date and time
Month
Day
Year
Time
HoursMinutes

Indicate only the date and time confirmed by our secretary.

If you haven’t set an appointment yet, please contact us through our Facebook page or clinic hotline (09257928232).

PATIENT'S INFORMATION

Birthday
Month
Day
Year

You may indicate city/town only.

PARENT'S / CAREGIVER'S INFORMATION

Please ensure that the number provided above is active and matches your selected mode of communication.

Preferred mode of communication
Viber
WhatsApp
iMessage
Facebook Messenger

APPOINTMENT FEE PAYMENT

To secure your preferred appointment slot, kindly settle the corresponding appointment fee:


₱1,000 per patient - Weekday appointments and all appointments with Associate Dentists


₱2,000 per patient - Weekend appointments with our Chief Pediatric Specialist, Dr. Patricia Cruz-Bautista


These payment methods are for Appointment Fees ONLY.


GCASH

Patricia Grace Cruz

0960 500 5504


BPI

0666258854

Patricia Grace Cruz

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