Dental Referrals Leicester

Patient Referral Form

At High Street Dental Care we are currently accepting referrals for –

> Invisalign – Andy Toy, Nakul Rajani, Vishal Patel, Paul Euden-Harrison
> Implants – Vishal Patel, Paul Euden-Harrison
> Periodontics – Muataz Osman
> Dentures – Kevin Campbell
> Endodontics – Brett Davids
> Cosmetic – Nakul Rajani, Vishal Patel
> Facial Aesthetics – Priya Patel
Note: You can also download the Patient Referral Form by clicking here and send the completed form to

High Street Dental Care Limited is a limited company registered in England and Wales with registered number 11756205. Registered office address Cromwell House, 68 West Gate, Mansfield, Nottinghamshire, NG18 1RR. A list of directors is available at our registered office.

Dr Stefan T Kaczmarczyk: GDC 63814

Trading as High St Dental Care Ltd, credit broker (not a lender). Authorised and regulated by the Financial Services Authority.