Please Download our Endodonic Referral Form or Fill Out Our Electronic Form Below:

Select An Office:

Introducing:

DOB:

Patient Phone:

Referred By:

Office Phone:

Appointment Date:

Time:

Pt to Call
Tooth #

Please check all that apply:

Special Requests/Comments:

SERVICES

  • Orthodontics

    Orthodontists are dedicated to helping your teeth and jaws work in union so that you can speak, bite and chew comfortably and effectively.

  • Implants

    We use the best selling and superior quality implants worldwide.

  • Family and Cosmetic Dentistry

    Our dentists work with both the young patient as well as the “very experienced” patient and everything in between.

  • Endodontics

    Dr. Kim has built a reputation of providing root canal treatment so you can have a very efficient and pain free experience.

  • Oral Surgery

    We provide surgical extractions, wisdom teeth extractions, implants and more.

  • Pedodontics

    Our Pedodontists care for and treat children as young as 1 year old.