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Family and Cosmetic Dentistry

(323) 734-9333
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A blue sign that says smile l. A dental
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  • Home
  • Our Practice
  • Testimonials
  • New Patients
  • Services
  • Forms
  • FAQs
  • Contact Us
Book an Appointment

Online Forms

Before your visit, please take a moment to read the following documents:

Forms in English

  • Medical History
  • Notice of Privacy Practices
  • Informed Consent
  • Acknowledgment
  • Financial Policy
  • Facts about fillings
  • Covid 19 Letter
  • Covid 19 Questionnaire

Formas en Español

  • Historia Medica
  • Aviso De Las Practicas De Privacidad
  • Consentimiento Informado
  • Autorización
  • Arreglos Financieros
  • Hoja Informativa sobre Materiales Dentales
  • Carta Corona Virus
  • Covid 19 Cuestionario de Salud
A blue sign that says smile l. A dental

  • 2706 W. Jefferson Blvd.
    Los Angeles, CA 90018

(323) 734-9333
Book Now
A blue sign that says smile l. A dental

  • 2706 W. Jefferson Blvd.
    Los Angeles, CA 90018

(323) 734-9333
Book Now
  • Home
  • Our Practice
  • Testimonials
  • New Patients
  • Services
  • Forms
  • FAQs
  • Contact Us
  • Book an Appointment

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