You may refer patients to our office by filling out our secure online Referral Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. The security and privacy of patient data is one of our primary concerns and we have taken every precaution to protect it.
PC Users
Our online form uses the latest version of Adobe Acrobat Reader to conveniently submit the form from home or work. Please download the free plug-in from Adobe's web site if it is not already installed on your system. It is important that you have at least version 9 of the plug-in to successfully use our online form.
Mac Users
You must open and submit the form in a Safari Browser with the latest Mac operating system. It is also important to have the latest version of Adobe Acrobat Reader on your computer in order to submit your form to our office correctly, please download the free plug-in from Adobe's web site.
Our office is in Glendale, Arizona. We are conveniently located near Loop 101 and Union Hills Drive.
See map for directions to our office or call 623-931-9197.
Oral Surgeons Dr. Lines and Dr. Hoaglin provide Implant, Facial and Oral Surgery to the following communities including:
Glendale, Peoria, Phoenix, Sun City, Sun City West and Avondale AZ.
Arizona Center for Implant, Facial and Oral Surgery
Gary K. Lines, DMD and Donald R. Hoaglin, DDS
18301 N. 79th Avenue, Building G, Suite 185 | Glendale, AZ 85308
Phone: 623-931-9197 | Fax: 623-937-4385