CONTACT US

LAVAL

3030 Le Carrefour Blvd., suite 502
Laval, Quebec   H7T 2P5

T   450-934-8088
C   clinique@quintinortho.com


Laval

JOLIETTE

405 Manseau Blvd.
Joliette, Quebec   J6E 3C9

T   450-867-7077
C   clinique@quintinortho.com


Joliette






CONSULTATION APPOINTMENT REQUEST FORM

To schedule any appointment, you can contact us by telephone or e-mail. For a first consultation visit, it is also possible to fill out and submit the following form so that we can contact you in order to schedule the initial appointment.

Patient name :
 
Name of the person to contact :
(if other than the patient)
Daytime phone number :
E-mail address  :


Clinic where you would like to schedule an appointment :  Laval       Joliette
Additional information :





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LAVAL

3030 Le Carrefour Blvd., suite 502
Laval, Quebec   H7T 2P5
T   450-934-8088


JOLIETTE

405 Manseau Blvd.
Joliette, Quebec   J6E 3C9
T   450-867-7077



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DR. OLIVIER QUINTIN   |   ORTHODONTIST

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