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Forms

1

Patient Information

This form collects your personal and contact details, ensuring we have accurate records for effective communication and care.

2

Medical History for New Patient

This form gathers your medical background, helping us understand your health history and provide personalized treatment.

3

Dental Patient Screening Form

This form assesses your current dental health, allowing us to identify any issues and create a customized dental care plan.

Make an Appointment

Michael Schneider, DMD

10921 Wilshire Blvd, #809

Los Angeles, CA 90024
michaelschneiderdmd@gmail.com

Tel: (310) 208-6813

 

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© 2015 Michael A. Schneider, DMD.  Los Angeles based Dr. Schneider serves the entire Southern California area including Westwood Village, Santa Monica, Beverly Hills, and West Hollywood. Dr. Schneider will correct chipped, stained, misaligned, broken teeth while providing routing dental care in a safe and relaxing environment.  He has a love of cosmetic dentistry with a specialty in painless porcelain veneers. For all your dental needs in the Los Angeles area, visit Dr. Michael Schneider! 

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