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Best Dental Implant Dentists in Vancouver, WA (2026)

155 clinics offering dental implants, rankedUpdated 11 oral surgeons0 paid placementsHow we rank →

The short answer

  1. 1

    Best overall for dental implants: Pacific Park Family Dental in Vancouver, WA, ranked #1 of 155 by service score; an oral surgeon on staff, 4.8★ from 623 Google reviews, 1 of 20 collected reviews mentions dental implants.

  2. 2

    Best specialist (oral surgeon): Mayfield Dale DDS, an oral surgeon on staff.

Rankings can't be bought. Booking through us earns you a $60 gift card and doesn’t affect order. How we rank

155 Vancouver clinics list dental implants and are ranked here by service score. 11 list an oral surgeon, 2 offer same-day or emergency visits and 20 open Saturdays. Google ratings are on file for 89 of them.

Top 10 implants dentists in Vancouver at a glance

Top 10 implants dentists in Vancouver at a glance
RankClinicService scoreSpecialist on staffRating (reviews)Reviews mentioning implants
1Pacific Park Family Dental in Vancouver, WA84Yes (oral surgeon)4.8★ (623)1
2Mayfield Dale DDS83Yes (oral surgeon)——
3Gentle Dental Salmon Creek83Yes (oral surgeon)4.7★ (382)—
4Vancouver Dental Care83Yes (oral surgeon)4.9★ (377)1
5Gentle Dental Hazel Dell81Yes (oral surgeon)4.6★ (557)—
6Salmon Creek Family Dental79Yes (oral surgeon)5.0★ (100)2
7Kaiser Permanente Salmon Creek Dental Office79—4.9★ (280)—
8Willamette Dental Group - Vancouver - Mill Plain78Yes (oral surgeon)4.5★ (187)—
9Vancouver Smiles Dentistry78Yes (oral surgeon)4.6★ (231)—
10Oral Surgery Solutions - Justin Hollar, DMD77Yes (oral surgeon)4.5★ (137)2

The 155 best implants dentists in Vancouver, ranked

Ordered by service score: the DR Score plus bonuses for a specialist on staff, reviews that mention the service and same-day care where it applies.

  1. Ranked #1 for implants in Vancouver

    #1 Pacific Park Family Dental in Vancouver, WA

    1901 NE 162nd Ave Ste D-112, Vancouver, WA 98684

    84/100

    Ranked #1 for dental implants in Vancouver: an oral surgeon on staff; 4.8★ from 623 Google reviews.

    • 4.8from 623 Google reviews
    Hours
    Mon 8 AM–5 PM · Tue–Thu 7 AM–4 PM · Fri–Sun closed

    General dentistryCleaningEmergency careRoot canalExtractionWisdom teethImplantsInvisalign+9 more

    In their words

    Pacific Park Family Dental is a state-of-the-art dental facility for all of your comprehensive oral care needs. We are located in eastern Vancouver, and proudly serve not just the Greater Portland-Vancouver metro areas, but also communities along the Columbia River Gorge, the Willamette Valley, the Cascades and the I-5 corridor.

    From Pacific Park Family Dental in Vancouver, WA's own description. Not part of the ranking.
  2. #3 Gentle Dental Salmon Creek

    800 NE Tenney Rd Ste B201, Vancouver, WA 98685, United States

    83/100

    Ranked #3 for dental implants in Vancouver: an oral surgeon on staff; 4.7★ from 382 Google reviews.

    • 4.7from 382 Google reviews
    Hours
    Mon 8 AM–5 PM · Tue 7 AM–5 PM · Wed 8 AM–6 PM · Thu 8 AM–7 PM · Fri–Sat 8 AM–4 PM · Sun closed

    General dentistryCleaningEmergency careRoot canalExtractionWisdom teethImplantsInvisalign+9 more

    In their words

    Are you looking for a neighborhood dental office in Vancouver, WA? Dentists from Gentle Dental in Vancouver, WA, are committed to providing you with a personalized and comfortable dental experience throughout the duration of your visits. Whether you are considering cosmetic dentistry treatments or you are due for a cleaning, we will gladly assist you through our comprehensive services.

    From Gentle Dental Salmon Creek's own description. Not part of the ranking.
  3. #5 Gentle Dental Hazel Dell

    7725 NE Hwy 99, Vancouver, WA 98665, United States

    81/100

    Ranked #5 for dental implants in Vancouver: an oral surgeon on staff; 4.6★ from 557 Google reviews.

    • 4.6from 557 Google reviews
    Hours
    Mon 9 AM–4 PM · Tue 8 AM–6 PM · Wed 10:30 AM–7 PM · Thu 7 AM–5 PM · Fri 9 AM–4 PM · Sat–Sun closed

    General dentistryCleaningEmergency careRoot canalExtractionWisdom teethImplantsInvisalign+9 more

    In their words

    At our Hazel Dell Gentle Dental office in Vancouver, our dentist believes in both great care and great value. From baby dentistry and children's dentistry to root canals and orthodontics, our services are designed to be affordable to almost anyone. We accept most PPOs and payments by cash and credit card. CareCredit and Lending Club also offer available patient financing.

    From Gentle Dental Hazel Dell's own description. Not part of the ranking.
  4. #6 Salmon Creek Family Dental

    2515 NE 134th St Ste 200, Vancouver, WA 98686

    79/100

    Ranked #6 for dental implants in Vancouver: an oral surgeon on staff; 5.0★ from 100 Google reviews.

    • 5.0from 100 Google reviews
    Hours
    Mon–Thu 8 AM–5 PM · Fri–Sun closed

    General dentistryCleaningEmergency careRoot canalExtractionWisdom teethImplantsInvisalign+9 more

    In their words

    Welcome to Salmon Creek Family Dental, your dentist in Vancouver WA, and the general dentistry practice of Dale Nelson, DMD, where we pride ourselves on providing the most advanced general dental care to our patients in a friendly, comfortable atmosphere. We are happily accepting new patients. Salmon Creek Family Dental offers complete general and cosmetic dentistry services, ranging from porcelain veneers to dental implants, crowns, bridges, dentures, and tooth-colored…

    From Salmon Creek Family Dental's own description. Not part of the ranking.
  5. #8 Willamette Dental Group - Vancouver - Mill Plain

    9609 E Mill Plain Blvd, Vancouver, WA 98664

    78/100

    Ranked #8 for dental implants in Vancouver: an oral surgeon on staff; 4.5★ from 187 Google reviews.

    • 4.5from 187 Google reviews
    Hours
    Mon–Fri 7 AM–5:30 PM · Sat 7 AM–1 PM · Sun closed

    General dentistryCleaningEmergency careRoot canalExtractionWisdom teethImplantsInvisalign+9 more

    In their words

    Our Mill Plain office is located off Mill Plain Blvd, just a few blocks East of PeaceHealth Southwest Medical Center and West of Interstate 205, in Vancouver, WA. Here, we practice evidence-based dentistry, and we believe that our providers, along with our patients, can proactively work together to improve oral health care outcomes. Our office is a family-friendly environment where we emphasize honesty, integrity and compassion. As pioneers in preventive care since 1970, all…

    From Willamette Dental Group - Vancouver - Mill Plain's own description. Not part of the ranking.
  6. #9 Vancouver Smiles Dentistry

    14411 NE Fourth Plain Blvd Ste 134, Vancouver, WA 98682

    78/100

    Ranked #9 for dental implants in Vancouver: an oral surgeon on staff; 4.6★ from 231 Google reviews.

    • 4.6from 231 Google reviews
    Hours
    Mon 10 AM–7 PM · Tue 9 AM–6 PM · Wed–Thu 8 AM–5 PM · Fri 8 AM–1 PM · Sat–Sun closed

    General dentistryCleaningEmergency careRoot canalExtractionWisdom teethImplantsInvisalign+9 more

    In their words

    As a Smile Generation Trusted office, we welcome you to Vancouver Smiles Dentistry! With state-of-the-art infection control procedures in place, our #1 goal is to keep you and your family safe. We provide comprehensive specialty services with advanced, proven technology and offer customized financial solutions for you. We are proud to be your complete Vancouver dental provider with services including Teledentistry, Same-Day Dental Crowns, Boost Whitening, Oral Surgery,…

    From Vancouver Smiles Dentistry's own description. Not part of the ranking.
  7. #10 Oral Surgery Solutions - Justin Hollar, DMD

    2621 NE 134th St #210, Vancouver, WA 98686

    77/100

    Ranked #10 for dental implants in Vancouver: an oral surgeon on staff; 4.5★ from 137 Google reviews.

    • 4.5from 137 Google reviews
    Hours
    Mon 9 AM–3 PM · Tue–Thu 8 AM–4:30 PM · Fri 8 AM–2 PM · Sat–Sun closed

    General dentistryCleaningEmergency careRoot canalExtractionWisdom teethImplantsInvisalign+9 more

    In their words

    I provide oral surgery services such as extraction of wisdom teeth, dental extractions, dental implant placement and implant related procedures such as bone grafting. My practice philosophy centers around a patient's ability to make the best decision for themselves. My job is to provide services and advice that lead to the desired outcome. Justin Hollar DMD

    From Oral Surgery Solutions - Justin Hollar, DMD's own description. Not part of the ranking.
  8. #11 Vancouver Dentist Office

    918 SE 164th Ave STE 200, Vancouver, WA 98683, United States

    77/100

    Ranked #11 for dental implants in Vancouver: an oral surgeon on staff; 4.4★ from 230 Google reviews.

    • 4.4from 230 Google reviews
    Hours
    Mon 10 AM–7 PM · Tue–Thu 8 AM–5 PM · Fri 8 AM–2 PM · Sat–Sun closed

    General dentistryCleaningEmergency careRoot canalExtractionWisdom teethImplantsInvisalign+9 more

    In their words

    As a Smile Generation Trusted office, we welcome you to Vancouver Dentist Office! With state-of-the-art infection control procedures in place, our #1 goal is to keep you and your family safe. We provide comprehensive specialty services with advanced, proven technology and offer customized financial solutions for you. We are proud to be your complete Vancouver dental provider with services including Teledentistry, Same-Day Dental Crowns, Boost Whitening, Oral Surgery, Wisdom…

    From Vancouver Dentist Office's own description. Not part of the ranking.
  9. #13 New Horizons Dental

    15704 NE Fourth Plain Blvd, Vancouver, WA 98682, United States

    76/100

    Ranked #13 for dental implants in Vancouver: 4.7★ from 512 Google reviews; evening hours and Saturday hours.

    • 4.7from 512 Google reviews
    Hours
    Mon–Thu 7:30 AM–6:30 PM · Fri 8 AM–1 PM · Sat 9 AM–2 PM · Sun closed

    General dentistryCleaningEmergency careRoot canalExtractionWisdom teethImplantsInvisalign+9 more

    In their words

    New Horizons Dental is your Vancouve, WA dentist. This is “Where Beautiful Smiles Begin.” We are committed professionals that treat you like family. We strive to meet your needs as best we can. Stop by and say, “Hi!” We would love to have you as part of our dental family.

    From New Horizons Dental's own description. Not part of the ranking.
  10. #14 Emergency Tooth Doctor Vancouver

    400 W Fourth Plain Blvd, Vancouver, WA 98660

    74/10085% of factors measured

    Ranked #14 for dental implants in Vancouver: 4.5★ from 242 Google reviews.

    Based on reputation, review volume, recency, services and profile completeness.

    • 4.5from 242 Google reviews

    General dentistryCleaningEmergency careRoot canalExtractionWisdom teethImplantsInvisalign+9 more

    In their words

    We believe that The Emergency Tooth Doctor dentists are among the best that Portland Oregon has to offer. We proudly provide a wide range of general dentistry services including dental implants, crowns, sedation dentistry, composite fillings, inlays and onlays, fixed bridges, and mercury-free tooth-colored fillings. We also offer emergency care treatment that is the best in the business. We at The Emergency Tooth Doctor strive to make you feel as comfortable as possible…

    From Emergency Tooth Doctor Vancouver's own description. Not part of the ranking.
  11. #21 Mosaic Dental Collective

    404 E 15th St Suite 14, Vancouver, WA 98663

    73/10015% of factors measured

    Ranked #21 for dental implants in Vancouver on access and profile data; Google ratings are not yet collected.

    Based on services and profile completeness; Google ratings not yet collected.

    General dentistryCleaningEmergency careRoot canalExtractionWisdom teethImplantsInvisalign+9 more

    In their words

    Meet Mosaic Dental Collective! We’re something new — a dental partnership group that operates as a collective led by doctors rather than a traditional dental service organization. We offer our partner dentists not just support in running their practices, but joint ownership over our whole decision-making process. Together, we’re building a premier oral healthcare organization that runs on collaboration and mutual support. If that appeals to you, we’d love to start a…

    From Mosaic Dental Collective's own description. Not part of the ranking.
  12. #22 New Day Dental merged with Sleep Dentistry of Vancouver in 2018.

    1201 SE Tech Center Dr #150, Vancouver, WA 98683

    73/10015% of factors measured

    Ranked #22 for dental implants in Vancouver on access and profile data; Google ratings are not yet collected.

    Based on services and profile completeness; Google ratings not yet collected.

    General dentistryCleaningEmergency careRoot canalExtractionWisdom teethImplantsInvisalign+9 more

All 155 clinics

#1 to #25 are shown in full above. Here are #26 to #155, in DR Score order; each links to its full profile.

RankClinicDR ScoreRating (reviews)Evenings / weekends
26Aspen Dental734.1★ (767)
27Lighthouse Dental734.9★ (378)
28Sunshine Dental724.9★ (342)Sat
29Dr. Jared Bowyer DDS724.9★ (461)
30Today's Dentistry of Orchards Vancouver Family & Emergency Dentist725.0★ (182)
31West Vancouver Dental714.9★ (521)
32Adventure Dental714.9★ (1,923)
33Elite Dentistry714.7★ (888)
34Minnehaha Dental715.0★ (182)
35Ostenson Dental715.0★ (102)
36Emergency Dentist Vancouver & Camas713.0★ (2)
37Garden City Dental705.0★ (431)
38Prairie Dental Care704.5★ (206)Evenings · Sat
39Jeremy H. Diehl, DDS, MSD, PC704.9★ (22)
40Main Street Dentistry694.8★ (391)Evenings
41Thurston Oaks Dental695.0★ (422)
42Dr. Brady Smith694.1★ (31)
43Vancouver Pacific Family Dentistry Cosmetic & Dental Implants694.9★ (150)
44Hazel Dell Dental Care - Lyle Kelstrom, DDS694.9★ (167)Evenings
45Harmony Family Dentistry684.9★ (362)
46Dental Care at Brush Prairie684.7★ (292)
47APY Dental683.9★ (194)
48Peppermint Dental Dr Sheryl Lee DMD LLC684.7★ (243)Evenings
49Tooth Docs Camas684.4★ (526)Evenings
50Lacamas Dental - Vancouver684.8★ (407)
51Oasis Dental684.8★ (823)
52Ranieu Family Dental684.7★ (732)Sat
53Hiddenbrook Dental684.9★ (102)
54Evergreen Denture Center684.9★ (321)
55Sheron Dental674.9★ (482)
56Salmon Creek Center For Complete Dentistry675.0★ (133)
57Al Watanabe, DMD675.0★ (5)
58Quality Dental Care674.8★ (469)
59Dr. Jeffrey Pearson67Evenings · Sat
60Mount Vista Family Dental675.0★ (169)
61Advanced Dental Concepts67
62Biles Heather N DDS67
63Brian Mahoney67
64Dental Service LLC67
65Dr. Aimee Fujioka67
66Dr. Brian Alder67
67Dr. Carl Futenma67
68Dr. Tracy Trieu67
69Erickson Family Dental67
70Marler Denise67
71Salmon Creek Medical Plaza67
72Steven D. Hokett, D.D.S., M.C.R.67
73Vancouver Family Dental67
74Wendel Family Dental Centre: Ly Phat DMD67
75Bright Now! Dental & Orthodontics674.5★ (553)
76Distinctive Dental674.9★ (66)
77New Leaf Dental Care674.7★ (348)
78Canepa III Albert B DDS665.0★ (191)
79Evergreen Dental664.9★ (280)
80Peace Family Dental664.7★ (413)
81Smiles Dental Hazel Dell664.8★ (421)
82Padden Dental664.7★ (353)
83Deluna Kids Dental664.7★ (267)
84Dr. Sarah Barber, DDS655.0★ (2)
85The Dentist at Felida654.5★ (87)
86Mill Plain Dental Center654.8★ (224)
87Bright Now! Dental & Orthodontics654.5★ (341)
88Vancouver Pacific Emergency Dentist644.9★ (132)
89Neil David S DDS644.0★ (1)
90Geriatric Dental Group644.7★ (317)
91Sunrise Dental Vancouver644.3★ (57)Sat
92Clinica Sea Mar Dental641.0★ (1)
93Grin and Bear it Family Dental634.8★ (101)
94Creekside Dental634.9★ (68)
95Riverstone Family Dentistry635.0★ (45)
96Value Dental634.5★ (187)
97Emergency Tooth Doctor Camas633.6★ (14)Sat · Sun
98Nw Affinity Dental625.0★ (39)
99Dr. Shebani614.7★ (12)Sat
100Dr. Jagjit S. Bhui, DMD614.6★ (11)Sat
101Advanced Denture615.0★ (16)
102Sea Mar Dental613.1★ (17)Sat
103Dr. Joshua Williams615.0★ (2)
104New Heights Clinic614.6★ (17)
105Dr. Eric N. Dahlen, DMD604.9★ (20)
106Tri-Star Denture & Dentistry593.9★ (137)
107Nelson Dale DDS585.0★ (7)
108Sea Mar-Dental Clinic(Vancouver)572.6★ (30)
109Dr. Gerald J. Papador, DDS57Evenings · Sat
110Dr. Steven M. Hopmann, DDS57Evenings · Sat
111Sea Mar Vancouver Dental Clinic - NE 88th St562.8★ (77)Sat
112David Hanson563.7★ (3)
113Western Dental Co541.0★ (2)
114Dr. Keith Collins541.0★ (1)
115Mirror Pond Dental532.5★ (24)
116Frank Foreman Pediatric Dentistry503.8★ (5)
117Sea Mar Vancouver Dental Clinic - Salmon Creek502.4★ (14)
118Cascade Dental49
119Alfordable Dental492.5★ (191)
120Ariel Park, DMD47Sat
121Nicole D Grant, DMD47Sat
122Wendel Family Dental Centre - Vancouver47Sat
123Wendel Family Dental Center: Verbeit Mindy DDS43Sat
124Wendel Family Dental Centre: Lunt Donald DDS43Evenings
125Sleep Dentistry of Vancouver37
126Salmon Creek Endodontics37
127Cascade Dental37
128Arbor Dental37
129NOVA Family Dental37
130Salmon Creek Dental Center37
131Crosswater Dental37
132Orchards Dental37
133Dr. Darius Arlauskas DDS37
134Advanced Dental Concepts | Katrina P. Lo, DMD37
135Aloha Dental37
136Andersen Dental Center37
137Fujioka Family Dentistry37
138Alder Dental37
139Aadland Dental37
140Calderon Family Dentistry37
141Arbor Dental: Steven G. Marandas DMD37
142Dr. Paul Marshall, DMD34
143Tristan V Martin, DMD34
144Wow Dental34
145Cascade Park Dental Office: Reese Randy H DDS33
146Kaiser Permanente Orchards Medical Office33
147Dentus Dental Center33
148Advantage Dental+ | Vancouver33
149Haslam Jennifer33
150Sea Mar Vancouver Medical Clinic - Salmon Creek33
151Columbia River Dentistry33
152Dr. Richard E. Sipes, DDS33
153G Russell Church DMD33
154Salmon Creek Oral Surgery & Periodontics17
155Dr. Monica Calderon17

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What are dental implants?

A dental implant is a small titanium or zirconia post placed in the jawbone to replace a missing tooth root. After it fuses with the bone, a crown, bridge or denture is attached on top. Implants need enough healthy bone and gum to support them.

Dental implants: specialist or general dentist?

Implants are placed by oral surgeons, periodontists, and general dentists with extra implant training. Specialists are often recommended when bone grafting, sinus lifts, or full-arch cases like All-on-4 are involved. The crown is often made by a general dentist or prosthodontist.

11 of Vancouver's 155 clinics offering dental implants have an oral surgeon on staff. See oral surgeons in Vancouver

How much do dental implants cost in Vancouver?

Typical ranges in USD for Vancouver, WA. Your price depends on the tooth, the case and the clinic.

How much do dental implants cost in Vancouver?
TypeTypical range (USD)BasisAs of
Single implant post and abutment$2,000–$4,700DentistsRanked estimate from typical fees, adjusted for Washington—
Single implant with crown$4,050–$8,000DentistsRanked estimate from typical fees, adjusted for Washington—
Bone graft (if needed)$420–$4,050DentistsRanked estimate from typical fees, adjusted for Washington—
All-on-4 full arch, per arch$20,200–$40,300DentistsRanked estimate from typical fees, adjusted for Washington—

Estimates, not quotes. Ask the clinic for a written estimate. Full dental implants cost guide for Vancouver

What to expect from dental implants

Typical ranges for most patients. Your dentist's plan may differ.

Dental implants: visits, chair time and recovery
FactTypically
Typical visitsTypically 3–6 visits over several months
Chair timeAbout 1–2 hours to place a single implant
RecoveryA few days of soreness; the implant usually needs 3–6 months to fuse before the final crown
When to see a specialistBone loss that needs grafting, multiple missing teeth, full-arch replacement, or medical conditions affecting healing

How we ranked Vancouver implants dentists

We scored 155 Vancouver clinics offering dental implants on 6 factors: reputation 45%, review volume 15%, recency 10%, access 15%, services 10%, profile completeness 5%. 43 were excluded (3 closed and 40 duplicate listings). Data from Google listings and clinic websites, refreshed October 21, 2026.

Paid placement never changes a rank or score. Featured clinics are paid, labelled, limited to 3 and shown above the ranking, outside it.

Read the full method: formula, sources and exclusions

DR Score factors and weights
FactorWeightComputed fromIn Vancouver data
Reputation45%Bayesian-adjusted Google star ratingMeasured
Review volume15%log10(review count) against the city maximumMeasured
Recency10%Share of reviews in the last 12 monthsMeasured
Access15%Evenings, Saturday, Sunday, same-day/emergency, accepting new patientsMeasured
Services10%Services offered out of 17Measured
Profile completeness5%Named dentists, years open, languages, insurance, photosMeasured

Dental implants in Vancouver: frequently asked questions

Who is the best dental implants dentist in Vancouver?

Pacific Park Family Dental in Vancouver, WA ranks #1 of 155 Vancouver clinics offering dental implants by DentistsRanked service score. It has an oral surgeon on staff and 4.8★ from 623 Google reviews. Mayfield Dale DDS ranks #2 (an oral surgeon on staff). The score weighs reputation, access, services and profile data, plus a bonus for an oral surgeon on staff.

How much do dental implants cost in Vancouver, WA?

Dental implants in Vancouver typically costs $1,875–$7,500 USD. By type: single implant post and abutment $2,000–$4,700; single implant with crown $4,050–$8,000; bone graft (if needed) $420–$4,050. These are estimates, not quotes. Basis: DentistsRanked estimate from typical fees, adjusted for Washington. Ask the clinic for a written estimate.

Do general dentists in Vancouver do dental implants?

Yes. 144 of the 155 Vancouver clinics offering dental implants do not list an oral surgeon, so general dentists there typically provide it. 11 list an oral surgeon on staff. Typical reasons to see an oral surgeon: bone loss that needs grafting, multiple missing teeth, full-arch replacement, or medical conditions affecting healing.

Are dental implants covered by insurance or Medicaid in Washington?

Coverage for implants varies widely. Some dental plans cover part of the cost as major care, often subject to waiting periods and annual maximums; many do not. Medicaid rarely covers implants for adults. Ask for a written estimate.

Do dental implants hurt?

Implant placement is done under local anesthetic, and many clinics offer sedation, so most patients feel pressure rather than pain. Afterward, soreness and swelling for a few days are common. Many patients say recovery is similar to a tooth extraction.

Which Vancouver dental implants dentists are open on Saturday?

20 of 155 Vancouver clinics offering dental implants list Saturday hours, including Gentle Dental Salmon Creek, Willamette Dental Group - Vancouver - Mill Plain and Dr. Chung-Ah Jang. Hours come from each clinic's listing; check with the clinic before you go, since holiday and summer hours can change.

How many dentists offer dental implants in Vancouver?

155 Vancouver clinics list dental implants in our data. 11 of them list an oral surgeon on staff. They include Pacific Park Family Dental in Vancouver, WA and Mayfield Dale DDS. 20 are open Saturdays. Google ratings are on file for 89 of them. Counts update when clinics change their profiles.

Update log for Vancouver

  1. : DR Scores recalculated for 155 clinics.
  2. : 40 duplicate listings merged.
  3. : 3 closed clinics removed.