FB
CANADA'S LEADERS IN DENTAL OFFICE PLANNING AND DESIGN

Solution 2 Form
PHONE: 1 800 570-6356 ext:#6322,6012,6014
WEBSITE: www.npteam.ca
E-MAIL: This email address is being protected from spambots. You need JavaScript enabled to view it.

| * : This field is required. | 
 
PROJECT:*
 
TYPE OF DENTAL PRACTICE:*
 
EMAIL ADDRESS:*
 
CONTACT NAME:*
 
NUMBER OF OPERATORY ROOMS:*
 
NUMBER OF HYGIENE ROOMS:*
 
PANORAMIC AREA: PAN   PAN/CEPH
 
STERILIZATION CENTER: YES   NO
 
UTILITY ROOM: Inside clinic   Elsewhere in building
 
LABORATORY: YES   NO
 
WASHROOM(S): Patient Barrier free Universal W/C   Private
 
PRIVATE OFFICE/DENTIST(S): YES   NO
 
CONSULTATION: YES   NO
 
STAFF LOUNGE: YES   NO
 
RECEPTION/BUSINESS AREA:PAPERLESS YES   NO
 
ADDITIONAL INFORMATION: Use the space below to elaborate on your project.
 
Attach a file: (Supported files type: jpg,png,gif,bmp,pdf,dwg,zip,rar,doc,docx,jpeg)

Please copy the image below: