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New Patient Exam with CleaningExam, Xrays and Cleaning

Emergency

Suresmiles ConsultClear aligners

ConsultImplant Consult

Specific Exam

Book your appointment for New Patient Exam with Cleaning lasting [90 minutes].

Any Available Provider

Kayla

Jinsol

Rose Hygienist

Mark Hygienist

Book your appointment for New Patient Exam with Cleaning lasting [90 minutes].

Earliest available appointment date is on Nov 18, 2026

Available Dates

Available Times

Available times will appear once a date is selected.

20261118,20261119,

Please call office to confirm your online booking has been confirmed and to provide any dental insurance coverage over the phone. Thank you 

PERSONAL DETAILS

Your personal details. Please review them and make any necessary adjustments.

First Name

Last Name

Date of Birth

Address

Address 2

Province/State

City

Postal /Zip Code

Phone #

Type

Ext

Preferred Phone

Contact Method

How did you hear about us (Internet, Walk-In, Referred)? If referred, please provide name of person/business.

Emergency Contact First Name

Emergency Contact Last Name

Emergency Relation

Emergency Phone #