221 SW 155th Street
Seattle (Burien), WA 98166

(206) 242-6660

Refer a Patient

A successful practice doesn’t just happen; it is the result of a strong commitment to excellence in dental care and in the relationships we build with our patients and colleagues. We appreciate the confidence you’ve placed in us, and we thank you for recommending our practice.

If you are a doctor referring a patient, please provide us with the information below. Once you’ve completed the form, click on the SUBMIT button at the bottom of the page.

Practice information

Bold fields are required.

Referral information

Radiographs sent?



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