Contact – Dr. Karkri, orthodontist

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Dr. Ali Karkri
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Dr. Ali Karkri, Orthodontist

and his team

Consultation and treatment days | Thursday and Friday

450-912-9185

info@orthodrkarkri.com
2180 rue Principale, St-Zotique QC J0P 1Z0

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Patient Name *

First name

Last name

Date of Birth

Name of the responsable person *

First name

Last name

Phone Number *

you Date consultation

Email *

Reason for the consultation *

Dental crowding
Pre-prosthetic orthodontics
Skeletal / dental malocclusion
Dental impaction / Ortho-surgery
Early interceptive treatment
Other

If you check Other, enter the reason here

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