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Denture Referrals

Please complete the form below for denture referrals to New Life Teeth.

Please be assured that we will neither approach nor accept your patient for non-referred treatment.

 

Thank you.

Practice Details
Patient Details
Referral Information
     Please tick as required:
Referral Notes

Arrange a free consultation > or give our Edinburgh clinic a call on 0131 564 1822 or our Belfast clinic on 0289 521 7533