Thank you for referring your patient to our office. We value our relationship with you and will strive to give your patient outstanding care.

To help make the appointment process go smoothly, we would appreciate a copy of any radiographs you may have taken, and a quick note about any treatment you may have rendered.

Eastshore Pediatric Dental Group Referral Form

Our contact information for sending the referral and/or radiographs is as follows:

Fax: (510) 964-0908
Address: 2000 Appian Way, Ste 303, Pinole, CA, 94564

Feel free to call us with any questions or special concerns at (510) 964-0168.

Thank you!