Join the D4K Network : Expand Your Practice

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Join the D4K Network: Expand Your Practice

Become part of a premier orthodontic and pediatric care network backed by cutting-edge digital marketing and patient referral solutions.Fill your Contact Information :

Full Name
Clinic Name
Clinic Location City, State
Contact Number : (Phone number for correspondence)
Email Address :(Your email for further communication)
Professional Details
Dental Qualification(s) : (BDS, MDS, Specialty, etc.)
Years of Experience : (Number of years practicing dentistry)
Specialization (if any) : (Orthodontics, Pediatric Dentistry, TMJ Therapy, etc.)
Current Services Offered at Your Clinic:
Braces
Aligners
Pediatric Dentistry
TMJ Treatment
Sleep Therapy
Others
If Others (Specify)

Clinic Infrastructure
Number of Dental Chairs : (Enter the total count)

Facilities
CBCT/OPG
Intraoral Scanner
Laser Dentistry
Sterilization Protocols

Average Monthly Patient Flow : (Approximate number of patients per month)

Your Interest in D4K

What services are you most interested in offering under the D4K network?
Aligners
Braces
TMJ Therapy
Pediatric Functional Appliances
Sleep Therapy

How did you hear about D4K?
Social Media
Website
Referral from Colleagues
Events/Conferences
Others
If Others (Specify)

What are your expectations from D4K?
Increased Patient Flow
Digital Marketing Support
Advanced Training & Workshops
Exclusive Branding Opportunities
Access to New Technologies
Access to New Technologies

Terms & Agreement
By submitting this form, I agree to be contacted by D4K representatives to learn more about the franchise opportunities and terms.

I Agree

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Email : info@d4k.co.in

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