Customer Forms

We appreciate you for staying strong during this pandemic. Thank you for trusting us in providing your dental care. We have implemented all the possible safety measures in our dentistry to provide a safe and hygienic dental experience for our patients. We request you complete this new patient screening questionnaire before coming to our dental office to help our staff prepare for your first visit and serve your medical needs quicker and easier on your arrival.


10643 Valley Blvd Suite A/B, El Monte, CA 91731

Phone: (626) 628-2424

Office Hours

MON 9:00 am - 5:00 pm

TUE - FRI 10:00 am - 5:00 pm

SAT 8:00 am - 2:00 pm

SUN Closed

Get in Touch


Phone: (626) 628-2424