533 504 880
michal@poulakowski.com

Michał Poulakowski

ABOUT ME
VENEERS
SMILE DESIGN
SMILE METAMORPHOSES
CERTIFICATES
CONTACT

„Let's bring your smile back...
let's start!”

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Name

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Surname

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Email*

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Phone

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Where are you from?

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What would you like to improve in your smile?*

COLOR

SIZE

ALIGNMENT

SHAPE

GENERAL LOOK

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What treatment are you interested in?*

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How did you hear about me?*

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Are you missing any teeth?

Yes

Not

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Preferred language:

POLISH

ENGLISH

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Type of consultation*

In the office

Virtual (Facetime / Whatsapp)

Jaki rodzaj konsultacji wybierasz

Send Close-up of a smile and teeth *

Prześlij zdjęcie zębów

Send a selfie with a smile and teeth *

Prześlij selfie z uśmiechem i zębami *

Additional information

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© 2025 Michał Poulakowski stomatolog estetyczny

Michał Poulakowski

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