NY Root Canal - Long Island Root Canal - NY Endodontics

Ask the Doctor a question about treatments by phone (516) 437-1633 or complete the form:

Referring Doctors

Doctor's Name:*
Doctor's Phone:*

Patient's Name:*
Patient's Phone:*

Consultation only

Treatment

Tooth status:

	Pulp Exposed
	Tooth is open for drainage
	Patient has discomfort
	Radiographic findings present
	Separated Instrument
	Perforation
	Post removal only

Tooth number(s):

Remarks:

Bridge/crown is cemented:

Permanently

Temporarily

Is post space desired?

Yes

Please feel free to contact us if you have any question.

Nassau Queens Endodontics,
2035 Lakeville Rd. New Hyde Park NY 11040
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