Doctor Preferences

Doctor's Name *
Doctor's Name
Phone
Phone
Extractions - Primary Teeth
PREFERENCES:
Extractions - Permanent Teeth, erupted
Extractions - Permanent teeth, unerupted
Other Procedures - Perio
Long-term periodontal management
Other Procedures - Single appointment periodontal procedures
(Grafting, frenectomies, fibrotomies, esthetic crown lengthening)
TMD - Chronic pain management
TMD - Joint derangement
TMD - Splints for bruxism
Back to me (I do these procedures) To a specialist of your choice (I don't have a strong referral preference) To one of the specialists listed below:
Endo: Simple single-rooted teeth
Endo: complex, multi-rooted molar teeth
(Please specify)