• Silver Dental Centre

  • 510 Richardson Avenue 

    Ottawa ON K2B 5H1 

    T- 613-829-5921

    F- 613-829-2088

    silverdental@rogers.com 

     

  • I,         Authorize you to provide my dental records to The Silver Dental Centre. Please send all copies to the above email address. Thank you

  • *TO BE FILLED BY PREVIOUS DENTIST*

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