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FORM REQUESTING WE CALL YOU. We will call you

Forename* Surname* 
Telephone* Country*
City*  

Fields with * are obligatory

Data Protection:
In compliance with the provisions of Law 15/1999 of 13 December on Protection of Personal Data,
we inform you that your personal data collected through this form will be processed and will be
included in the files of the clinic and / or dental Clinic Medical Implant, with the purpose of
providing and / or, where appropriate, to keep you informed of products and services, dentistry and
stomatology requested by you. In this sense, you expressly consent to your data is treated by the
clinic and / or dental office to comply with the purposes indicated above. Also, please note that you
can exercise your right of access, rectification, cancellation and opposition in Av Los Abrigos, 21,
38 618, Los Abrigos, Tenerife. Telf: 922 749 742 / Fax 922 749 668