Quinn, Mariotti and Abod Orthodontics

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Refer a Friend

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A successful orthodontic practice doesn't just happen. It is the result of a strong commitment to excellence in orthodontics and in our relationships with patients and doctors. We'd like to take a moment to thank you for showing your confidence in our practice by recommending us to your friends, family and colleagues. We're gratified to find how many new patients regularly call on us based on your words of advice.

Choose a form:

Doctor Referral Form

If you are a doctor who is referring a patient to us, please fill out and submit the following form.

Your Information:
  • Your Name:

  • Your Practice Name:

  • Email Address

Referral Information:
  • Full Name of Patient You're Referring:

  • Were Radiographs Sent?

  • Additional Information:

  • For Security Purposes, Please Enter the Code Below:

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Professional Arts Bldg.
327 N. Washington Ave.
Suite 1003

Scranton, PA 18503
570-342-3556

517 Northern Boulevard
Clarks Summit, PA 18411
570-587-1196

2 Seventh Ave.
Carbondale, PA 18407
570-282-6236

3306 Lake Ariel Hwy.
Honesdale, PA 18431
570-253-5824

1409 Rt. 739
Dingmans Ferry, PA 18328
570-686-2951

 
 
 

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