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Patient
X-Rays
Reason for referral
Please perform the following:

SEND RECORDS TO

Pavilion Dental Group

140 West La Veta Avenue, Suite 530 Orange, California 92868

Tel 714.953.1000
Fax 714.953.9957

SCOPE OF CARE

Fixed Prosthodontics

Removable Prosthodontics

Implant Prosthetics

Esthetic Dentistry

Occlusion / TMJ evaluation

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