Referral Form for Dentists
Scott A. Reef, DDS, MSD and Justin J. Villanueva, DMD, MSD, DHL – Periodontal Associates of Lafayette
We strive to provide the highest quality state-of-the-art dental therapy, while individualizing treatment to each patient’s needs. Call us Today!
Click To Call
765-447-9319 Schedule Your
Appointment Patient
Registration
Our Office Hours: Monday - Wednesday 8:00 AM - 5:00 PM, Thursday 8:00 AM - 3:00 PM, Friday 8:00 AM - 12:00 PM
Click To Call
765-447-9319 Schedule Your
Appointment Patient
Registration
Our Office Hours: Monday - Wednesday 8:00 AM - 5:00 PM, Thursday 8:00 AM - 3:00 PM, Friday 8:00 AM - 12:00 PM
Please forward this printable referral form to us when sending one of your patients our way. As always thank you for your referral.