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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.


"My experience with Dr. Bembey has been great… She explains everything that needs to done and makes sure you understand ... She cares about your overall well-being…. Her assistants also made sure I was comfortable and if I needed anything…. I am very happy with the dental work that has been done…. I have already passed on her information to a friend for her future dental work…" - Catherine L.

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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

Hours:
Monday: 8:00 am - 12:00 pm
Tuesday: 8:00 am - 5:00 pm
Wednesday: 8:00 am - 5:00 pm
Thursday: 8:00 am - 5:00 pm
Friday: 8:00 am - 12:00 pm
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Encinitas Periodontics & Dental Implants, 477 North El Camino Real #C-306, Encinitas, CA 92024 + 760-632-9055 + encinitasperiodontist.com + 11/24/2021 + Page Keywords: Periodontist Encinitas CA + Periodontist Encinitas CA +