Once you have contacted us to make an appointment, you may print this form and fill it out prior to your office visit.
This form is required for our files and all information will be kept confidential.
We look forward to seeing you soon!
Bruce R. Baral, D.D.S., Inc.
Cosmetic and General Dentistry6514 Spring St.
Long Beach, CA 90815
Web Hosting powered by Network Solutions®