Patient Query Form

/Patient Query Form
Patient Query Form 2020-03-30T16:07:47+05:30

All-on-4 Dentist – Dental Clinic in Delhi, India


Dr. Goswami’s – Delhi Dental Implant Center and Clinic in India. Welcomes people looking for a Single Visit, Immediate Loading – Immediate Function all-on-4 Dental Implants surgical treatment procedures abroad.

We are a Leading Dental Implant Facility Clinic, with Best Team of all-on-Four trained team of Dentist in India, with our own top All-on-4 Dental Lab in India; to give you the best prosthetic options from our side and a well trained staff and assistants.

We can Do your Full Mouth rehabilitation and reconstruction with All-on-Four Dental Implants surgical treatment procedure along with temporary or permanent fixed Hybrid Acrylic Dentures or Zirconia Metal free CAD – CAM Designed computer manufactured all porcelain, Full Ceramic Full set of artificial teeth set within 7 to 15 days’ time frame ( Single visit treatment ) in India.


Please fill the below mentioned query form and let us know how your teeth condition is in detail, so that we could give you best possible treatment options for your proposed all-on-4 Dental Implant Needs and best of the price from our side.

    Name of the patient
    Nationality of the Patient
    Sex malefemale
    Land line number
    Mobile number
    Give a brief Description about your Dental Problems. Also designate the teeth with number as above. Eg: Upper Right central incisor is 11
    Lower Rights first molar 46
    Any Medical Problems
    (Ex. Diabetes, Hypertension, etc..)
    Fillings done in teeth.
    Root canal treatment done in any tooth.
    Crown or Bridges on your teeth.
    Missing teeth if any.