Southern California Endodontics

(714)774-8360                                                                                                                                                      Drs. Greiner, Hein and Soleimani

Refer a Patient

It is easy to refer a patient below. Simply list your Referring Office name, your patient's name, the number we can best reach him/her, the tooth number and the requested treatment. We will then contact you for any additional information we need for the appointment so you can go back to taking care of your wonderful patients! If you so choose, you can put the insurance information and any special instructions in the comments section as well.

Referring Doctor:
Patient's Name:
Tooth Number(s):
Instructions,Medical Concerns or Comments:
Referred for: Consultation
Intentional Endodontics
Post Space
  Post and Core Build-up
Internal Bleaching
Root Removal
  Apicoectomy/Retrograde filling
N2O analgesia
Please Call Me
Insurance Information:
  • “No pain or discomfort, the doctor explained everything that he was doing as the procedure went along. The doctor's assistant, Sydney, she is top notch."
    -Patrick D.
  • “I was very impressed with Dr. Hein's effeciency and skill. Dr. Hein's assistant was very caring and sweet."
    -Steven J. MD.
  • “Great staff and great dentist = great office!!! Thank you for all your hard work and dedication to great care. I will be coming back!"
    -Farah J.

Copyright 2012