Please fill out the questionnaire. Our staff will contact you by phone to confirm the appointment.

The personal data contained in the questionnaire is administered by EDENT Olaf Bronowicz with its registered office at B. Strachowskiego 7a/1i, who will process the data only for the purposes of proper diagnosis and treatment. Data submission is not obligatory, however, necessary for the safety of medical procedures carried out. We would also like to inform the patient about their right to access and correct the data.