Ordering for testing

To place an order, please fill out the form below.
After receiving your details, we will contact you as soon as possible (by phone or email) and together we will select a suitable date.

First and last name

E-mail

Phone

Gender

Permanent address

Insurance number

Health insurance company

I want to get tested for

Make an appointment and get a beautiful smile!

+420 519 370 243

order on the phone number or via the form

Žerotínova 895/5a, Breclav

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