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Patient Referral Form

Refer a Patient to Sana Dental

Warm & Welcoming Reception Area | Sana Dental | General & Family Dentist | North Edmonton

This referral form is for practices referring patients to Sana Dental. Please download the PDF form from the link below. Once completed please email a copy of the form to office@sanadental.ca.

If you have any questions about this form, do not hesitate to contact us directly at (780) 476-3391 or email us at office@sanadental.ca prior to submitting the form.

Patient Referral Form
Warm & Welcoming Reception Area | Sana Dental | General & Family Dentist | North Edmonton

We look forward to hearing from you soon!
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    OUR HOURS

    7:30 am to 4:00 pm
    8:30 am to 4:00 pm
    7:30 am to 4:00 pm
    7:30 am to 4:00 pm
    7:30 am to 3:00 pm (By Appointment Only)
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    Providing general and family dental services to the neighborhoods of Edmonton, including Sifton Park, Belmont, Clearview Campus, York, Casselman, McLeod, Kilkenny, Kildare, Delwood, Baldwin, North Eastwood, Elmwood Park, Yellowhead Corridor, North Edmonton, Heritage, Kernohan, River Valley, Hermitage, Fraser, Ebbers, Miller, Britnell, Hollick-Kenyon, Gorman Industrial, Oberon, Sherwood Park and surrounding Edmonton areas.

    New Patients Always Welcome
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    Disclaimer

    Dr. Alex Pavlenko at Sana Dental Centre is a General Dentist. As a General Dentists, he has a special focus on cosmetic dental procedures such as porcelain veneers, dental crowns, dental braces, and teeth whitening, as well as treatment for TMJ and Sleep Disorders as part of his General Dentistry license. Cosmetic Dentistry, TMJ Sleep & Family Dentistry are not specialties recognized by the Alberta Dental Association & College of Dental Surgeons of Alberta (CDSA).

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