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Nour Al Eid

Supplementary Dental Insurance

Answer the questions now and secure your free, no-obligation offer.

Any questions? Message us on WhatsApp!

1. What is your name?

2. Which language is most suitable for you?

German (Fastest Processing Time) Arabic English All 3 Languages

3. What is your age?

4. How many missing or unrestored teeth do you have? (Wisdom teeth do not count)

How many root canal treatments have you had in the last 2 years?

6. Has periodontitis been diagnosed in the last 3 years?

Yes No

7. Is any dental or orthodontic treatment currently taking place?

Yes No

8. Do you have a removable denture in your upper or lower jaw?

Yes No

9. Do you wear glasses or contact lenses?

Yes No

10. Would you like to benefit from the family discount and insure your family (e.g., children)?

Yes No

11. What is your reachable phone/WhatsApp number?

12. Under which email address can you be reached?

Data Protection Agreement

I agree that my data may be processed in accordance with the applicable data protection regulations.

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