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Referring Doctors

Please fill out the referral form for your patients.

Request for Consultation - Referral

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Request a Consult

If you would like to schedule a Free Dental Implant Consultation please feel free to submit a request. Once your request has been received, one of our team members will contact you to schedule the appointment

FastNewSmile® - Doctors Emadi, Almasri, Yang, and Azzouz