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Jack and Geraldine Weichman Endodontics Clinic fax number

(310) 206-5030

Endodontics

Used for: Endodontic patient referrals and documents (e.g., Endodontics Patient Referral Form) are typically faxed to this clinic.

Fax destination details

Department
Endodontics
Purpose
Endodontic patient referrals and documents (e.g., Endodontics Patient Referral Form) are typically faxed to this clinic.
Form
Endodontics Patient Referral Form — Endodontics Patient Referral Form
Address
714 Tiverton, Los Angeles, CA 90095
Voice phone
(310) 825-4348

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete and sign the Endodontics Patient Referral Form (by referring dentist) and fax to the clinic's number (310) 206-5030 with patient details. Include referral information as requested on the form.

Official form instructions are published as a downloadable file on the organization's website.

Sources and verification

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