PATIENT REFERRAL FORM

2763 Danforth Avenue, Unit 4

Toronto, Ontario, M4C 1L8

Tel. 647-352-5577

Toll Free 1-855-5-Berzin

www.DrBerzinImplants.ca

Dr. Lion Berzin, B.D.S

Diplomate of the American Board of Oral Implantology/Implant Dentistry
Diplomate of the International Congress of Oral Implantologists
Fellow of the American Academy of Implant Dentistry

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