Download & Print Our
Referral Form

BUCKHEAD PERIODONTICS
Laura D. Braswell, D.D.S.
Kara Kramer, D.M.D.

3280 Howell Mill Road, N.W.
West Wing, Suite #331
Atlanta, GA 30327       
Phone: (404) 261-9593
Fax: (404) 261-9409

You can use the form below to reach us through the website. In the case of a dental emergency, please call us (770) 578-4169.

*Name:
*Email:
Confidentiality
This form sends a non-secure email and fax directly to the office. Please only include information that you would feel comfortable emailing.
*Phone:
   
Concerning:
Message:
 
  * Required Field

 

 

  Designed by Dentist Web Design. Featured in Dentist Directory