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  PATIENT REFERRAL FORM

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  TEETH REMOVAL NUMBERING CHART

Idaho Oral & Facial Surgeon | Liberty Oral Surgery |

If your referring patient needs any tooth removal please specify each tooth based on this numbering system above.

  OFFICE HOURS

MONDAY
7:30 am - 5:00 pm
TUESDAY
7:30 am - 5:00 pm
WEDNESDAY
7:30 am - 5:00 pm
THURSDAY
7:30 am - 5:00 pm
FRIDAY
7:30 am - 5:00 pm