Please Note: Our Dental Office is located in 425B Jacqueline Dr, Garsfontein, Gauteng 0081 Your First Name (required) Surname (required) Email Address (required) Phone Number (required) Reason For AppointmentCrownFillingVeneer/sTeeth CleaningTeeth WhiteningDental BridgeChildren's DentistryDermal FillersChemical PeelsToxinsOther Please provide any other information related to this appointment request