Referrals

Paladin Dental Referrals

If you plan to refer a patient to our practice, please complete the form below.

Paladin Dental Referral

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Patient Information

Patient's Name*
MM slash DD slash YYYY
Does The Patient Require Antibiotics Prior to Dental Treatment?*
Please Call Patient*

Referring Doctor Information

Referred By*

Procedures

Extractions*
Full Mouth Implants*
Single Implant*
Bone Grafting*
Sedation*

Extracting Information

tooth number chart

Radiographs or Clinical photos

Radiographs / Clinical Photos*
Max. file size: 6 MB.

Case Notes

Schedule Online View Location
Spacious and modern waiting area at Paladin Dental in Fresno, CA. The lobby features comfortable seating arrangements with a mix of leather armchairs and a plush gray sofa, complemented by a decorative area rug. The office's logo is illuminated on a light blue wall, adding a touch of elegance. Large windows with blinds allow natural light to fill the room, enhancing the welcoming atmosphere.

Paladin Dental

2747 W Bullard Ave #103
Fresno, CA 93711
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Hours

Monday: 7 a.m. - 5 p.m.
Tuesday: 7 a.m. - 5 p.m.
Wednesday: 7 a.m. - 5 p.m.
Thursday: 7 a.m. - 5 p.m.
Friday: 8 a.m. - 12 p.m.

Phone

559-436-8288

Email Address

[email protected]