Online Referral Form

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
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
32
31
30
29
28
27
26
25
24
23
22
21
20
19
18
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

If you would like to attach files (including digital radiographs) to your submission, please drag your files here or click below.
Maximum 100MB per file.

Oral, Facial, and Dental Surgery Services

Surgeons Peter H. Kim, DDS; Serv S. Wahan, DMD, MD; Daniel T. Brady, DDS; and Dustin Altmann, DMD, Dr. Gross, DMD, MD, provide a full scope of oral and maxillofacial surgery, from corrective jaw surgery and wisdom tooth removal to advanced dental implant and bone grafting procedures, as well as diagnosis and treatment of facial pain, facial injuries, and TMJ disorders. Our clinical team is highly trained in assisting with I.V. sedation in a modern, state-of-the-art office setting, so you can receive care comfortably and safely.

Surgeons Peter H. Kim, DDS; Serv S. Wahan, DMD, MD; Daniel T. Brady, DDS; and Dustin Altmann, DMD, provide a full scope of oral and maxillofacial surgery, from corrective jaw surgery and wisdom tooth removal to advanced dental implant and bone grafting procedures, as well as diagnosis and treatment of facial pain, facial injuries, and TMJ disorders. Our clinical team is highly trained in assisting with I.V. sedation in a modern, state-of-the-art office setting, so you can receive care comfortably and safely.
Dental Implants
Bone Grafting
Wisdom Teeth
Impacted Teeth
Facial Trauma
Tooth Extractions
Oral Pathology
Bone Growth Protein
3D Imaging
Anesthesia
Pre-Prosthetic Surgery
~ We are currently accepting new patients ~

Board-Certified Oral & Maxillofacial Surgeons in Washington State

What Our Patients’ Say

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