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Mitchel L. Friedman, DDS, FAGD, LLC

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  • 1. Mitchel L. Friedman, DDS, FAGD, LLC Fellow Academy of General Dentistry Fellow Dental Organization of Conscious Sedation NJ Enteral Sedation Permit #51 Harihar Kumar, BDS, DDS NJ Parenteral Conscious Sedation Permit #82 539 Newman Springs Road • Lincroft, NJ 07738 www.DentistSedation.com Does going to the Dentist make you afraid or nervous? You are not alone! Call TODAY... (732) 741-6444 Your life is about to change with Sedation Dentistry! Introducing:__________________________________________ Referred by:_________________________________________ Date:_______________________ Reason for Referral: q Dental anxiety/phobia q Diagnosed Sleep Apnea q Difficulty getting q Sensitive gag reflex adequate local anesthesia q Implant restoration q Dental or oral pain q Highly sensitive teeth q Oral infection/swelling or gums q Other:________________