Oral Maxillofacial & Implant Surgery
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Locations
Mill Creek
160th Bothell Everett Hwy, 100
425-743-0277
Everett
2529 Hoyt Ave, Ste A
425-258-2664
Arlington
16110 Smokey Point Blvd
360-658-8882
Snohomish
2660 Bickford Ave, Ste 3
360-799-6812
Doctor
Patient Information
Referring Doctor Information
Consultation
Extraction (see tooth chart below)
Alveoloplasty
Biopsy
Incision and Drainage
Lesion Evaluation
Exposure
Hard Tissue
Infection
Expose and Bond
Soft Tissue
Frenectomy
Apicoectomy
TMJ
Implants
Orthognathic Evaluation
Pre-Prosthetic
Cleft Lip and Palate
Cosmetic
Ridge Augmentation
Oral / Facial Lesion
Bone Grafting
Other
Extraction Information
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13
14
15
16
32
31
30
29
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17
A
B
C
D
E
F
G
H
I
J
T
S
R
Q
P
O
N
M
L
K
Radiographs or Clinical Photos
Case Notes
Attach Files

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Oral Maxillofacial & Implant Surgery