Dental Referral

We can't wait to meet you!

A successful practice doesn’t just happen; it is the result of a strong commitment to excellence in the professional community and in the relationships we build with our patients and colleagues. We appreciate the confidence you’ve placed in us to provide you with the complete care you need, and we thank you for recommending our practice to your friends and family.

If you are here to refer a friend to our practice, please provide us with the information below. Once you’ve completed the form, click on the SUBMIT button at the bottom of the page.

Referral Form

Fill out the form below or call us today. Our team of dental professionals are ready to help!.

*All fields are required for a successful submission.

A Kids Place Dentistry For Children

Renton: (425) 228-5437

Established in 2005

A Kids Place, Too!

Seattle: (206) 933-5437

Established in 2013

Skip to content