Skip to the content
Home
About Us
Meet Our Team
Dr Tan Hong Jin
Dr Goh Sim Ying
Dr Tengku Maryam Fatimah
For Patients
First Visit
Video Gallery
Instagram Gallery
Smile Gallery
Our Services
Periodontics (Gum Treatment)
Treatment Lists
Bleeding Gums Treatment
Gum Disease Treatment
Gum Recession Treatment
Periodontitis Treatment Clinic
Periodontic Dental Clinic
Gum Dental Specialist
Orthodontics (Braces)
Treatment Lists
Dental Braces Service
Orthodontics Specialist
Orthodontist In Kuala Lumpur
Invisible Braces
Paediatric Dental Care
Dental Implants
Root Canal Treatment
General Dentistry
Inhalation Sedation (Laughing Gas)
Wisdom Tooth Removal
Contact Us
Blog
Appointment
Refer A Case
Home
About Us
Meet Our Team
Dr Tan Hong Jin
Dr Goh Sim Ying
Dr Tengku Maryam Fatimah
For Patients
First Visit
Video Gallery
Instagram Gallery
Smile Gallery
Our Services
Periodontics (Gum Treatment)
Treatment Lists
Bleeding Gums Treatment
Gum Disease Treatment
Gum Recession Treatment
Periodontitis Treatment Clinic
Periodontic Dental Clinic
Gum Dental Specialist
Orthodontics (Braces)
Treatment Lists
Dental Braces Service
Orthodontics Specialist
Orthodontist In Kuala Lumpur
Invisible Braces
Paediatric Dental Care
Dental Implants
Root Canal Treatment
General Dentistry
Inhalation Sedation (Laughing Gas)
Wisdom Tooth Removal
Contact Us
Blog
Appointment
Refer A Case
Home
About Us
Meet Our Team
Dr Tan Hong Jin
Dr Goh Sim Ying
Dr Tengku Maryam Fatimah
For Patients
First Visit
Video Gallery
Instagram Gallery
Smile Gallery
Our Services
Periodontics (Gum Treatment)
Treatment Lists
Bleeding Gums Treatment
Gum Disease Treatment
Gum Recession Treatment
Periodontic Dental Clinic
Gum Dental Specialist
Periodontitis Treatment Clinic
Orthodontics (Braces)
Treatment Lists
Dental Braces Service
Invisible Braces
Orthodontics Specialist
Orthodontist In Kuala Lumpur
Dental Implants
Paediatric Dental Care
Root Canal Treatment
General Dentistry
Inhalation Sedation (Laughing Gas)
Wisdom Tooth Removal
Contact Us
Blog
Appointment (Whatsapp)
Refer A Case
Online Referral Form
For Referring Dentists Only
"Thank you for your referral. We are dedicated to fostering strong collaborative relationships and are committed to exclusively treating the cases that are referred to us. Your patients are in expert hands with us"
Please fill up the form
Patient Full Name*
Patient Contact Number*
Patient Email
Referring to*
—Please choose an option—
Dr Tan Hong Jin (Periodontist)
Dr Goh Sim Ying (Orthodontist)
Dr Tengku Maryam Fatimah Tengku Ab Malek (Paediatrist)
CBCT Scan / 3D X-ray
Reasons for Referral*
Please specify the site/tooth/area of concerns
Referring Dentist Clinic*
Referring Dentist Name*
Referring Dentist Contact Number*
Referring Dentist Email
Referral Date
Upload X-rays / Referral Letter
Send
maisondentalttdi@gmail.com
|
+6012-5903838
|
22(Ground Floor), Lorong Rahim Kajai 14, 60000, Taman Tun Dr Ismail, Kuala Lumpur, Malaysia
WhatsApp us