DeCare Dentist Finder Listing

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Please fill in the required details in this form to be added to DeCare's Dentist Finder which is available on www.decare.ie

Practice Name: *

Practice Address *

Google Coordinates

Search for your practice on Google maps. Once found right-click on the location and the numbers at the top of the list is the google coordinates. When you click on the coordinates they will copy to your clipboard and you can then paste your answer below. (short key CTRL + V to paste)

Website *

Email Address *

Contact Phone Number *

Principle Dentist Name *

Associate Dentist Name(s)

Type of Practice (Tick Box) *

General Dentist

Orthodontist

Oral surgeon

Endodontist

Oral & Maxillofacial

Radiology

Periodontist

Prosthodontist

Required

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