Patient Forms

PATIENT MEDICAL HISTORY

PATIENT MEDICAL HISTORY

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Conditions

 

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DENTAL HEALTH

 

Have you ever had

Orthodontic treatment (braces)
Oral surgery (extraction, etc.)
Periodontal treatment
Your teeth ground or bite adjusted
A bite plate or other appliance

 

Do you:

This Doctor is a true healer!

I had a wonderful opportunity to see Dr. Bembey! She really knows her stuff! I felt like she had my best interests in mind and she took her time and listened with an open mind and an open heart. I have some really tough dental issues, and she completely understood everything that I was going through and was able to guide me in the right direction. So great full of for her kindness and compassion.

– Shanon E., June 2023

Listen to Our Patient Stories

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Dr. Kanika Bembey, DDS, MS
Encinitas Periodontics & Dental Implants
Dr. Bembey
477 North El Camino Real #C-306
Encinitas, CA 92024

Phone: 760-632-9055
Fax: 760-943-0500
Hours
Monday: 8am - 5pm
Tuesday: 8am - 5pm
Wednesday: 8am - 5pm
Thursday: 8am - 5pm
Friday: Closed
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