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  • dentistryonjane.com
    dentistryonjane.com
    (905) 303-5519
    9441 Jane Street, L6A 4H8  Maple

    * to assist this office to comply with all regulatory requirements and to comply generally with the law By signing the consent section of this Patient Consent Form, you have agreed that you have given your informed consent to the collection, use and/or disclosure of your personal information for th…