P: (360) 573-8230 F: (360) 574-4826

13023 NE Hwy 99, STE #5
Vancouver,WA 98686

www.salmoncreekdental.com

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Reason for Referral:

Comprehensive Exam

Restorative Treatments (Fillings, Crowns or Bridges)

Prophy (cleaning) or SRP

Dentures (partial or full)

Extraction

Occlusal Guard

Implant

Sleep Appliance (Silent Nite)

Implant Crown

Invisalign

Root Canal

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FAX: (360) 574-4826

www.salmoncreekdental.com