Get to know each other?

Register yourself and your family members within two minutes using the form below and we will contact you as soon as possible.

Registration form

Can your children up to the age of 18 go to the dentist for free?

First name

Surname

Gender

Postal Code

House number

Date of birth

BSN number

Telephone

Email address

What is the reason for registering with us?

How did you find us?

Any comments

I agree to the processing of my personal data

Contact details

Dubbelmondehof 33
1069 ZA Amsterdam

Opening hours

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

9.00 – 17.00
9.00 – 17.00
9.00 – 17.00
9.00 – 17.00
9.00 – 17.00
9.00 – 17.00
Closed