• 646 W San Bernardino Road, Covina, CA 91722
    (626) 332-6291
Fill out my online form.

Office

  • Address: 646 W. San Bernardino Rd, Covina, CA 91722
  • Phone: 626.332.6291
  • Fax: 626.339-4968

Office Hours

  • Monday - Thursday   9am - 5:30pm
  • Friday    9am - 3pm
  • Saturday & Sunday    Closed

Download New Patient Form

clipboard

With our online dental new patient form, you can download, print, and complete new patient forms in the comfort of your home.

Requires Adobe Reader. Download Adobe Reader if you don't have it on your computer. Click Here download adobe reader