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Online Referral Form

Click icon to download a PDF version of our referral form

Referrals can be emailed to


We accept referrals for a wide variety of oral surgery procedures.  Some of the procedures we offer include:

  • wisdom teeth removal

  • dental extractions

  • dental implants

  • bone grafting and sinus lift

  • IV sedation

  • orthognathic surgery

  • facial trauma and reconstruction

  • surgical expose and bond

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