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Patient Forms


a doctor speaking with a patient and using a laptopThe following forms are provided to our patients. Please complete the forms before your appointment.


If you have questions about any of the paperwork, please give us a call at 760-632-9055 and our staff will be happy to help 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


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Encinitas Periodontics & Dental Implants in Encinitas, CA
Encinitas Periodontics & Dental Implants
Dr. Bembey and Dr. Yokoyama
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: Call hours 8am - 12pm*
*Treatment by appointment only
American Dental Association logo California Dental Association logo San Deigo County Dental Society logo Carlsbad Chamber of Commerce: 2022 Member badge
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Encinitas Periodontics & Dental Implants, 477 North El Camino Real #C-306, Encinitas, CA 92024 ~ 760-632-9055 ~ encinitasperiodontist.com ~ 3/31/2024 ~ Related Phrases: Periodontist Encinitas CA ~