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Locations

About
Services
Invisalign
Patients
Financing
Careers
Contact
- Espace Sourire Chomedey
- Espace Sourire St-François

Search

Welcoming patients of all ages with Canadian Dental Care Plan (CDCP) coverage!

Refer a Patient

Thank you for considering referring a patient to Espaces Sourires. Please fill out the form below or contact us for more information.

Patient Information

Patient's First Name *

Patient's Last Name *

Date of Birth *

City *

Is this patient male or female?

Male

Female

Preferred clinic location? *

Chomedey

St-François

Dentist Information

First Name *

Last Name *

Email Address *

Your email address will be used to send you a confirmation of receipt and/or consultation report.

Care Required

Check one or more options.

Same-Day Emergency

Endodontics (Root Canal, Retreatment, Apicoectomy)

Tooth Extractions/Wisdom Teeth

Dentistry for Kids

Dental Implants

Orthodontics – Invisalign Clear Aligners & Fixed Orthodontics

Complement

Choose one option.

Please do a radiography

Radiograph given to patient

Radiograph mailed

Additional Information

Provide additional details if applicable.

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File formats permitted: .jpg, .pdf, .txt.

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New Patients Are Welcome

Are you looking for a dentist in Laval? Our dentists will be delighted to welcome you and serve you.

Locations

Espace Sourire St-François

8048 Av. Marcel-Villeneuve suite 203 Laval QC H7A 0H9 CA

Request Appointment

Espace Sourire Chomedey

4670 Blvd. Saint-Martin O 202 Laval QC H7T 2Y2 CA

Request Appointment

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(450) 936-8686 (450) 688-0800