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an Appointment

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Referrals

Refer a Patient


   Please choose one of our specialists:

Izchak Barzilay
  Prosthodontist
  416.322.6862


Effrat Habsha
 Prosthodontist
 416.322.6862


Elahe Behrooz
 Prosthodontist
 416.322.6862


Samuel Strauss
 Oral Surgeon
 416.488.4225



Peter Birek
 Periodontist
 416.486.3020



Ryan Schure
 Periodontist
 416.322.6862


M.K. (Bobby) Baig
 Prosthodontist
 416.322.6862

David Chvartszaid
 Prosthodontist/Periodontist
 416.322.6862



Amir Azarpazhooh
 Endodontist
 416.322.6862



Referring Doctor:

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Doctor Last Name: *
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Radiographs to follow:

Submitted by: Dentist Other



Patient Information:

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Patient Last Name: *
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Reason for Referral:

Implants
TMD/Pain
Removable Prosthodontics
Periodontal treatment
Fixed Prosthodontics
Root canal therapy
Extraction/oral surgery
Other




We thank you for your referral and will contact your office to confirm intake. If there is anything we can do to serve you better, please let us know.