Helodent Tie up
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DR name *
Speciality/General *
DCI Regn number *
WhatsApp/contact number *
Mail id *
Clinic name
Area /Sector
City and location pincode *
Contact Number to be shared with patient *
I am ready to share revenue as 90:10.  (Dr:Helodent) *
Required
I understand that the treating doctor is responsible for the treatment outcome and Helodent is just a connecting and referral and online consultation platform
Treatment charges at your clinic(will be kept confidential) to find right category patients.  My  Consultation fee... *
Scaling and polishing charges *
Root canal treatment charges *
Xray charges (intraoral) *
Composite filling fee *
Porcelain fused to metal crown (Pfm) charges *
Zirconia crown charge *
Veneer charge (one unit)
Last molar surgery fee *
Normal tooth extraction fee *
Complete denture (both upper and lower removable)
Implant charges (one implant) *
Any disputes at Chennai jurisdiction only *
Required
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