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Home
About
- Our Practice
- Meet Our Doctor
Services
Post-Op
Patient Center
Refer A Patient
Contact Us

Refer a Patient

We value our relationships with referring dentists and specialists. To refer a patient to our office, please use the secure referral form below. If you have any questions or would like to speak with Dr. Arianna Damian directly, feel free to call us at 2134587060‬ .

Referring Doctor's Name & Practice

Referring Office Phone

Referring Office Email

Patient's Name

Date of Birth

Contact Information

Reason for Referral (Select all that apply)

Dental ImplantsPeriodontal EvaluationGum GraftingBone GraftingCrown LengtheningLANAP / Laser Treatment

X-Ray or Document Upload (Optional)

Additional Notes or Information

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Contact Information

Damian Periodontics

572 E Green St., Suite 205 Pasadena, CA 91101

Hours of Operation

Damian Periodontics

Monday By Appointment Only
Tuesday By Appointment Only
Wednesday 9:00am - 5:00pm
Thursday 9:00am - 5:00pm
Friday 9:00am - 5:00pm
Saturday By Appointment Only
Sunday Closed

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Home
About
- Our Practice
- Meet Our Doctor
Services
Post-Op
Patient Center
Refer A Patient
Contact Us

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