9 London Road, Guildford, Surrey, GU1 2AA
9 London Road, Guildford, Surrey, GU1 2AA
01483 575 865 Book online Contact

Brendan Regan

NHS & Private Dentistry

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Porcelain Veneers

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White Fillings

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Smile Makeover

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Teeth Whitening

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Periodontal Treatment

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Endodontics / RCT

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Teeth Grinding

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Mouthguards

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Tooth Extraction

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Mouth Cancer Screening

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Children’s Dentistry

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Inlays and Onlays

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Dental Hygiene

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Dentures

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Dental Bridge

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Dental Crowns

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Fillings

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Dental Emergencies

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Dermal Fillers

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Anti-Wrinkle Treatment

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Invisalign

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All Treatments

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First step to your brand new smile.

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Referral Form

    This form is for dentist referrals for Root Canal Treatment only. Please use our contact us page for any other enquiries.

    Reason for referral (please tick relevant box):

    Radiographs enclosed: