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Implant Bone Grafting
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Dental Implants
Full Arch Implants
Immediate Implants
Gum Recession
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Gingivectomy
Sedation and Dental Anesthesia
Menu
Home
About Us
Meet Our Doctor
Meet Our Team
Tour Our Office
Board Certified Periodontist
Testimonials
Patient Education
Services
All Dental Services
Non-Surgical Periodontal Treatment
Non-Surgical Periodontal Treatment
Scaling and Root Planing
Local and Systemic Antibiotics
Periodontal / Gum Disease
Bone Grafting
Bone Grafting
Implant Bone Grafting
Ridge Preservation Bone Grafting
Periodontal Disease Grafting
Sinus Bone Grafting
Dental Implants
Dental Implants
Full Arch Implants
Immediate Implants
Gum Recession
Esthetic Treatments
Gingivectomy
Sedation and Dental Anesthesia
7557 Rambler Rd #918, Dallas, TX 75231
(214) 238-8323
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Notice of Privacy Practices
Home
About Us
Meet Our Doctor
Meet Our Team
Tour Our Office
Board Certified Periodontist
Patient Education
Services
All Dental Services
Non-Surgical Periodontal Treatment
Non-Surgical Periodontal Treatment
Scaling and Root Planing
Local and Systemic Antibiotics
Periodontal / Gum Disease
Bone Grafting
Bone Grafting
Implant Bone Grafting
Ridge Preservation Bone Grafting
Periodontal Disease Grafting
Sinus Bone Grafting
Dental Implants
Dental Implants
Full Arch Implants
Immediate Implants
Gum Recession
Esthetic Treatments
Gingivectomy
Sedation and Dental Anesthesia
New Patients
Why See a Periodontist
Post-Op Instructions
Schedule An Appointment
Payments & Financing
CareCredit
Pay Bill Online
Cherry Financing
Referring Doctors
Testimonials
Contact Us
Location & Hours
Schedule An Appointment
Notice of Privacy Practices
Menu
Home
About Us
Meet Our Doctor
Meet Our Team
Tour Our Office
Board Certified Periodontist
Patient Education
Services
All Dental Services
Non-Surgical Periodontal Treatment
Non-Surgical Periodontal Treatment
Scaling and Root Planing
Local and Systemic Antibiotics
Periodontal / Gum Disease
Bone Grafting
Bone Grafting
Implant Bone Grafting
Ridge Preservation Bone Grafting
Periodontal Disease Grafting
Sinus Bone Grafting
Dental Implants
Dental Implants
Full Arch Implants
Immediate Implants
Gum Recession
Esthetic Treatments
Gingivectomy
Sedation and Dental Anesthesia
New Patients
Why See a Periodontist
Post-Op Instructions
Schedule An Appointment
Payments & Financing
CareCredit
Pay Bill Online
Cherry Financing
Referring Doctors
Testimonials
Contact Us
Location & Hours
Schedule An Appointment
Notice of Privacy Practices
Referring Doctors
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Thank you for your kind referral. Please complete the information below:
To ensure HIPAA compliance, please refrain from including any sensitive information.
Kindly fax any radiographs or documents directly to our office at (214) 254-4705.
Patient name*
Patient email address*
Patient phone number*
Referred by*
Radiographs available
BW/PAs
FMX
Pano
CBCT
Please select the following reason(s) for referral:
Periodontal Disease
Extraction(s)
Dental Implant(s)
Bone Grafting
Peri-Implantitis
Gingivectomy
Recession / Lack of Gingiva
Canine Exposure
Crown Lengthening
Pathology
Other:
Tooth Number(s) / Site(s):
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