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Lindgren Dental Referrals

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Lindgren Dental 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

Referred By*

Procedures

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

Extracting Information

tooth number chart

Radiographs or Clinical photos

Radiographs / Clinical Photos*
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Case Notes

Lindgren Dental

6811 S. 167th Street, Omaha, Nebraska 68135, United States
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Hours

Monday: 7:30 a.m. to 6:00 p.m.
Tuesday: 7:30 a.m. to 4:00 p.m.
Wednesday: 7:30 a.m. to 4:00 p.m.
Thursday: 7:30 a.m. to 4:00 p.m.
Friday: 7:30 a.m. to 11:30 a.m.
Saturday & Sunday: Closed

Phone

402-861-6565

Fax

402-861-4118

Email Address

[email protected]