Welcome New Patients - $39.00

X-Rays, Exam, Polish Cleaning!

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*Non-Insurance Patients Only
*In Absence of Periodontal Disease

Ignite the white summer special - Boost!
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Forms

Click on any of the forms below to download. If you have any questions, please feel free to contact us or call us at 949-559-5110.

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Getting To Know You As Our Patient
You can download our patient form by clicking here.

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Patients Dental Health
You can download our patient form by clicking here.

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General Dentistry Informed Consent
You can download our consent form by clicking here.

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Patient Acknowledgement of Receipt of Dental Materials Fact Sheet and Notice of Privacy Practices
You can download our acknowledgement and privacy form by clicking here.

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Notice of Cancellation Policy
You can download our patient form by clicking here.