Online Doctor Referral Form

You can email any necessary patient xrays as an attachment to staff@dralicetai.com

Patient Name:
Patient Address:
Patient Phone:
Referred by Doctor:
Referred Doctor Email:  
Referred Doctor Address:  
Referred Doctor Phone:  
Referred Doctor Mobile:

Nature of Referral and Other Important Information:

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SPARK Perio & Implants
DR. ALICE TAI HAS RETIRED, AND OUR DENTAL OFFICE
IS UNDER NEW OWNERSHIP. SEE OUR NEW WEBSITE BELOW!

San Ramon, Periodontist and Dental Implant Specialist, Dr. Alice Tai is dedicated to excellence in Periodontics & Implant Dentistry and offers treatment options that include, treatment of periodontal disease, scaling and root planing, ridge augmentation, gingival contouring, osseous surgery, crown lengthening, bone grafting and dental implant restoration and placement. Welcoming patients from San Ramon, Pleasanton, Danville, Walnut Creek & East Bay Communities.


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