Referral Form

Scott A. Reef, DDS, MSD and Justin J. Villanueva, DMD, MSD, DHL — Periodontal Associates of Lafayette IN

You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.

We strive to provide the highest quality state-of-the-art dental therapy, while individualizing treatment to each patient’s needs. Call us Today!
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Lafayette Office Phone Number 765-447-9319
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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