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Long Island Dental Excellence Referrals

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Long Island Dental Excellence Referral

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Patient Information

Patient's Name*
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Does The Patient Require Antibiotics Prior to Dental Treatment?*
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Referring Doctor Information

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Procedures

Extractions*
Full Mouth Implants*
Single Implant*
Bone Grafting*
Sedation*

Extracting Information

tooth number chart

Radiographs or Clinical photos

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Case Notes

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Long Island Dental Excellence

100 N Centre Ave #402
Rockville Centre, NY 11570
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Hours

Clinical Hours:
Monday: 9 am - 5 pm
Tuesday: 7 am - 5 pm
Wednesday: 1 pm - 8 pm
Thursday: 10 am - 8 pm
Friday: Closed
Saturday: 8 am - 1 pm
Sunday: Closed

Phone Hours:
Monday: 9 am - 5 pm
Tuesday: 7 am - 5 pm
Wednesday: 9 am - 8 pm
Thursday: 9 am - 8 pm
Friday: 9 am - 3 pm
Saturday: 8 am - 1 pm
Sunday: Closed

Phone

516-766-0122

Email Address

[email protected]