La Place Dentist    William P Danos DDS    Family and Cosmetic Dentistry   

600 Main St Suite 160
La Place LA 70068
Tel. (985) 652-2959
home
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
meet the dentist
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
what we offer
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
map & hours
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
ask the dentist
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
appointments
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
newsletter sign up
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
financial options
    William Danos DDS

Please call (985) 652-2959 to schedule an appointment.

For New Patients


Just complete the following form and one of our team members will contact you as soon as possible to schedule a convenient time for your first appointment.

Please provide the following contact information:

Title & First name

Last name

Middle initial

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Work/cell phone

Home phone

Call me at

Best time is

How did you hear
about us?

FAX

E-mail
Referred by (Mrs. Jones)

 

We respect your email privacy. We promise to never sell, barter or rent your email address to any unauthorized third party.  Please be aware that the information above will be sent via email and/or fax.

Dentist
In La Place Louisiana and the surrounding
Hammond - Destrehan - Luling - Gonzales LA areas.

No representation is made that the quality of the dental services to be performed is greater than the quality of other available dental services.

Copyright 2007 Internet Dental Alliance, Inc.

Terms of Use
 
Home   Meet the Dentist   What we offer   Map & Hours   Appointments   Ask the dentist   Newsletter Signup   Financing