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Appointment
(310) 933-3077
— Physician Referrals

Thank you for your referral.

We are proud to have served the Torrance, CA, community for 15 years, and we are delighted with the strong relationships we have built with local dentists.

Patient reviews and Your first visit with a provider reviewing notes with a smiling patient
— Download the Doctor Referral Form

The form is quick and easy to complete.

Physician Referral Form

For providers referring a patient to our practice. Complete and send it to our office to start the referral.

Download PDF
— How to Submit

Complete your forms and send them back to us.

Please download the physician referral form, complete it, and email or fax it back to us.

If you have questions about the packet or the referral form, call our office at (310) 933-3077. Our team is happy to help.