Advanced Endodontics Bellevue, WA
Karim Z. Alibhai DMD
Diplomate, American Board of Endodontics

Kenji G. Beppu DDS, MSD

Callie Smithson DDS, MSD

BELLEVUE
14595 Bel-Red Road
Suite 103
Bellevue, WA 98007
Tel (425) 562-9070
Fax (425) 641-0655
info@advancedendo.biz

RENTON
555 S Renton Village Place
Suite 786
Renton, WA 98057
Tel (425) 207-8677
Fax (425) 207-8663
renton@advancedendo.biz

Directions & Hours

 

 

AAE Specialist

Seattle Skyline
Advanced Endodontics Bellevue, WA
Advanced Endodontics Bellevue, WA

Referrals

Doctor Referral Form

Our electronic referral form below is the quickest and easiest way to get us working with you, but if you prefer, a printable PDF version is also available: View Printer Friendly PDF pdf *required fields

 


Patient's Name:*

Referring Doctor:*

Doctor's E-mail:*

Preferred Location:*

Bellevue         Renton

   Referral Form Diagram

Teeth #'s:*

 


 

Treatments:
 

  Endodontic Therapy
  CBCT (Bellevue only)
  Post Space Preparation
  Composite in Access Cavity
  Apical Surgery
  Retreatment
 
Bleach
 

Comments and Pertinent History: