Private, General & Speciality Referral Clinic
0207 837 3938
reception@angelsmile.co.uk
0207 837 3938
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General Services
Routine Dental Examination
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Same Day Crown
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Dentist Referrals
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Dentist Referrals
Patients referred will be contacted directly and full post-op report sent to referrer upon completion
Patient's Details
Patients's First Name
*
Patients's Last Name
*
Date of Birth
*
Address
*
City
*
Post Code
*
Email
*
Phone Number
*
Patient Referred For
*
Implants, Grafting & Sinus lift by Implantologist: Dr Amin Amenien
Orthodontic treatments including Invisalign, lingual braces and Myobrace by specialist orthodontist: Dr Fariba Banaie
CEREC Same-day Crown
Root canal treatment under Microscope by Endodontist Dr Denis Aydan
Wisdom tooth & Complex extractions by specialist oral surgeon Dr Arash Shahrak
Full mouth rehab, worn oclusion and comprehensive restorations by prosthodontist
Tooth wear, reconstruction of collapsed bite, and chewing organ by prosthodontist
Advanced gum treatments, Guided biofilm therapy, by hygieneist
LASER-assisted gum treatment by dentists
Specify tooth/teeth/areas
*
Medical Notes
*
Upload optional radiographs, reports, (multiple files accepted)
Upload a file
or drag and drop.
jpg, jpeg, jpe, pdf, zip, doc, docx up to 64MB
Referring Dentist / Physician Details
Referring Practitioner's Name
*
Practice/Practitioner Telephone
*
Practice/Practitioner Email
*
Consent
*
The patient agrees to share their personal information with Angel Smile Dental Care and to be contacted
Any Questions, We Can Help You
Call Us On:
0207 837 3938
Any Specific Queries? Get In Touch
Email Us On:
reception@angelsmile.co.uk
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ANGEL SMILE LONDON
Private Dentist, Hygienist, Orthodontist in central London , Angel, Islington
reception@angelsmile.co.uk
0207 837 3938
Our Services
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Implants
Invisalign
Cosmetic Dentistry
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Hygiene Session
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Opening Hours
Monday * 8:30 - 19:00
Tuesday 8:30 - 18:00
Wednesday * 8:30 - 19:00
Thursday 8:30 - 18:00
Friday 8:30 - 19:00
Saturday * 9:00 - 16:00
*Days where hygienist is available
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Phone
0207 837 3938
Address
First Floor, 41 Islington High Street,
N1 9LH, London
Email
reception@angelsmile.co.uk
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