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Thank you for your interest in our services. Please fill out the following form to request more information or to set up an appointment. We will contact you as soon as possible. You can also send us an e-mail to info@dentalbernal.com or give us a call to the phone number listed below.

Office Location:

Los Algodones, Baja California, Mexico
3rd Street and Avenue "A"
view map

Phone Numbers:
From the U.S.: 011 52 658 517 3237
U.S. Number: (602) 441-6479
Fax: same as main phone number
Email: info@dentalbernal.com

Patient's First Name:
Patient's Last Name:
Phone:
E mail:


Type of dental work needed:
Implants Mini-Implants Veneers
Root-Canals Surgery Bleaching (in office)
Take-Home Bleaching Bleaching (Laser) Implant
Root canal therapy White Fillings Extractions
X-Rays Cleaning Dentures
Partials ValplastLucitone Crown
Bridgework Braces Not on this list



Other work needed (optional):


What would you like to do?:

Make and appointment (if you choose this option you must also choose a month, day, and time)
Just receive more information about the dental work requested.
Month:
Day:
Time:

Note: The date chosen is not an exact date. Upon being contacted via e-mail or phone, we will formally discuss a specific date and time for your an appointment.



How would you like to be contacted?:

Phone
E mail

Payment
Most dentists in Los Algodones require payment in cash at the time of service, or in the case of making a prosthesis, 50% of the estimated cost is required in advance.

Dental appointments in Los Algodones are about two thirds less than in the U.S.
Please check this box if you would like a price estimate for the dental work you need

Price Estimate: Yes
Comments:


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© 2007 Juan Bernal D.D.S.