Your Name
Address (1)
Address (2)
Town
Country
Day Time Phone Number
Mobile Phone Number
Email Address
Preferred Dates of Visit
Airline (in bound flight)
Flight Number
Date of Arrival
Time of arival
Home Bound Flight Number
Date of Departure
Departure time (Home bound)
Which Accommodation: Prestige House or Vajda Pension?
Number of people
Number of Rooms needed
Type of Room Preferred
 

On Line Booking Form

Please give us the necessary details to arrange your treatment by completing this form and clicking 'send'

 

Please refer to the following for accommodation details:

Vajda Pension

Hotel Prestige

Dental Services Hungary

OnLine Booking Form

From Our Smile Gallery

Problems with this Form?

 

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Place your cursor over the image to see teeth before treatment
Email us at:  dentist@kraftmark.com