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(909) 320-2727 Upland, CA 91786
(909) 355-3299 Fontana, CA 92337
Patient Information

For New Patients

With Dental Offices in Upland & Fontana!

We welcome you to our website, and we’d love to welcome you to our family of patients! We understand that most people are busy, many feel anxious about dental appointments, and budgets are most often limited. That is why we strive to make our practice as convenient, comforting, and affordable as possible for the Inland Empire community (without sacrificing clinical excellence).

Plus we offer financing options because we understand that monthly payments can help patients fit the costs of dental treatment into their budgets. We want to make it possible for you and your family to enjoy the dental care that you need and desire.

Patient Forms

The following questionnaire will help us to serve you most efficiently and to obtain the best benefits from any insurance plans. We look forward to working with you, your family, and friends for many years to come.

These forms require the free Adobe Acrobat Reader® to view. Most computers have it installed, but click here to download and install if needed.

Dental Insurance, Payment Plans & Financial Options

We are very insurance friendly, and we are preferred providers for over 15 plans. We also offer 0% financing through CareCredit.

Go to our Financial Options Page >>