James Kakos DDS Address 1401 S Arlington Heights Road, Suite One Arlington Heights, IL 60005 Phone 847-758-0100 Patient Name(Required)Date Of Birth(Required) MM slash DD slash YYYY Referred By:Phone(Required)Reason For Referral(Required) Implants Sinus Lift EXT/Bone Grafts Biopsies Crown Lengthening Laser Regeneration Ridge Aug. Ginigival Auh. Incision & Draining SRP Gingivectomy Distal/Mesial Wedge Impacted Tooth Exposure Site Prep/GBR Peri Implantitis Gingival Aug. Frenectomy/Vestibuloplasty Osseous Surgery/Pocket Reduction Surgery Please list teeth/areas of concern:CommentsFileMax. file size: 100 MB. Book Online Call Now