General Dentistry, Reconstructive, Implant & Cosmetic Dentistry
Dental Anesthesiology and Sedation

www.meltzersedationdentistry.com

Suntrust Bank Building
13975 Connecticut Ave. Suite 318
Aspen Hill, Maryland 20906

Reason for referral:

Dental Phobic
One Visit Dentistry
Difficult Anesthesia
Sensitive Teeth
Noise Phobic
Needle Phobic
Gag Reflex
Patient will explain

IMPORTANT INSTRUCTIONS TO THE PATIENT

If you have been scheduled for IV sedation, do not have anything to eat or drink for 8 hours prior to the appointment. You must arrange for transportation to and from our office.

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