9990 West 26th Ave. Lakewood CO 80215
Monday – Sunday 08:00-19:00
surgikorco@gmail.com
720.275.9868
Doctor Information:
Name (first / last):
Practice Address:
Email:
Patient Information:
Surgery Information:
Surgery date:
Implant Information:
Implant Manufacturer:
Implant Type:
Guided Surgical Kit:
Treatment Plan:
MandibleMaxillaBoth
Notes regarding the guide
Guide Protocols