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Cancelling or changing an appointment 

Please complete the form below to cancel or change your appointment.

Alternatively please call the practice during normal opening hours.

Your first name
Your surname
Original appointment
Date & time
Who was your appointment with?
Date & Time of new appointment (if req'd)
1st choice
2nd choice
Your telephone
Your email
Demonstration Dental Practice
6 Union Road
Chippenham
Wiltshire
SN15 1HW
tel: 01249 448080
fax: 01249 446636

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last published: 22nd July 2005 [©]  Sponsored by PracticeGenie from Wrigley OHA as a FREE service to dentistry