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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!


Dr. Bembey is truly a healer. Not one of those Doctors who is in it for the money. You can tell that she loves her job. She actually made it enjoyable, and I don’t normally think of gum surgery as something to enjoy. She is very knowledgeable, and her skills are awesome! She communicates well and tells you small details that really help a lot. And she is there for you if you need her. Most importantly, she saved me from loosing my teeth! This Doctor is a GEM!!! I highly recommend her.

-Lynn V., February 2022


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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: 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
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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