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Referrals

Colleagues, we appreciate your trust in us with your patients. Dr. Kur and the team at Westchester Oral & Maxillofacial Associates will ensure that your patients get the best quality care and attention.

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Patient Information: First Name Last Name Phone Number

Doctor Information: Referred By Phone Number Email

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Procedures: Please select one or more procedures:

Wisdom Tooth Removal Minimally Invasive Orthodontic Surgery Dental Implants Teeth in a Day Bone Grafting TMJ Oral Pathology Dental Extractions Sinus Augmentation Other

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Terms & Conditions I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business

19 Bradhurst Ave Ste 2500N
Hawthorne, NY 10532

Monday to Thursday

8:00am to 5:00pm

Fridays

8:00am to 2:00pm

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