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Referral Form

Online Referral Form

You may refer patients to our dental office by completing our secure online Referral Form. Once you have filled the form, kindly make sure that you press the Submit button present at the bottom to automatically send us your details. The privacy and security of patient information are one of our major concerns and we have taken every necessary measure to protect it.

Welcome To Our Dental Family

Beverly Hills Oral & Facial Surgeon is accepting new patients of all ages. Call today to schedule an appointment. Dr. Sam Harouni and his team offer a full suite of services, including breathtaking, customized smile makeovers.

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People From Everywhere Love Us!
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