New Patient Registration Forms

We recognize that your time is valuable. We will make every attempt to see you at your scheduled appointment time. To save time, download our New Patient Registration Form. This may be easily completed using your keyboard and mouse. Print the completed form and fax it to us or bring it with you to your first appointment.

To print our New Patient Registration Form, please click on the link above. You will need Acrobat Reader, which is a free software program available by clicking the Get Adobe Reader button below.

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Phone: 626.289.5288 | Fax: 626.289.1265
330 South Garfield Avenue, Suite 212, Alhambra, California 91801
© 2010 Andrew Wong, DDS All Rights Reserved. Powered by DDS.com.

Dr. Andrew Wong is a cosmetic dentist, reconstructive dentist, and implant dentist who welcomes new patients from all areas including Alhambra, Arcadia, San Marino, South Pasadena, Pasadena, San Gabriel, Monterey Park, Los Angeles, Altadena, Temple City, Rosemead, Monrovia, Duarte, Glendale, La Canada, Sierra Madre, El Monte, Montebello, Whittier, West Covina, and Covina. He provides dental services such as porcelain veneers, dental implants, cosmetic bonding, porcelain fillings, porcelain bridges, digital x rays, crowns, bleaching/whitening, non-surgical perio treatment, teeth cleaning, orthodontics, braces, Invisalign, root canals, surgery, dentures, oral cancer screening, mouth guards, and night guards.