Submit A Referral

Patient's Name

Parent / Guardian's Name (if under 18 years old)

Phone / Cell

Referring Office

Referring Doctor

Doctor's Phone

Doctor's Email

Radiographs

Emailed

Provided with Patient

To be Taken

Reason for Referral

Implants

Removeable Prosthodonics

Fixed Prosthodontics

Extraction / Oral Surgery

Other

Remarks

Luka Dental Implants, in London, restores smiles with precision using advanced digital technology. From implants to same-day crowns, we ensure excellent care and seamless results.

Hours of Operation

Monday: 11:00am - 8:00pm
Tuesday: 10:00am - 7:00pm
Wednesday: 8:00am - 5:00pm
Thursday: 8:00am - 5:00pm
Friday: Closed
Saturday: Closed
Sunday: Closed