Our Services
General Dentistry
Cosmetic Dentistry
Invisalign and Orthodontics
Sedation Dentistry Toronto
Our Team
Our Office
Patient Resources
FAQs
Patient Forms
Financing
Blog
Get in Touch
416 534 6000
Book An Appointment
General Dentistry
Hygiene Services
Learn More
White Fillings
Learn More
Bonded Fillings
Learn More
Extractions
Learn More
Root Canal Therapy
Learn More
Dental Bridges
Learn More
Dental Crowns
Learn More
TMJ (TMD) Therapy
Learn More
Migraine Pain Prevention
Learn More
Athletic Mouth wear
Learn More
Back
Get In Touch
Please enable JavaScript in your browser to complete this form.
Name
*
Email
*
Phone Number
Message
Message
Submit
Hours of Operation
Mon-Fri
8:00am - 8:00pm
Saturday
8:00am - 3:00pm
Sunday Closed
Address
171 East Liberty Street, Suite 138
Ontario, M6K 3P6 Canada
Phone
Tel: 416-534-6000
Book an Appointment
Please enable JavaScript in your browser to complete this form.
Preferred Date and Time
Date
Time
Your Information
First Name
*
Last Name
*
Street Address Line 1
*
Street Address Line 2
City
*
Province
*
Province
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Postal Code
*
Email
*
Home Phone
*
Mobile Phone
*
Are you new to Portrait Dental?
*
Yes
No
If yes, how did you hear about us?
*
Type of Treatment
*
Complete Oral Exam
Dental Cleaning and Checkup
Invisalign
Whitening
Veneers
Dental Implants
Emergency
Extraction
Other
Is there anything in particular that you are concerned about that you want the dentist/hygienist to address? If so, please specify.
Comment
Submit
CLOSE
