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New Patient Form

New Patient Forms and Online Forms

Plaza Dental Group offers our new patient form online so it can be completed it in the convenience of your own home or office. Follow these easy steps:

Download the necessary form, print it out, and fill in the required information.
Bring them with you to your appointment.

This lets us know the history and current state of your dental health. What questions, concerns, goals, regarding dental care can we help you with? Let us know!

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Our Location

Plaza Dental Group

3390 Loma Vista Rd

Ste A

Ventura, CA 93003

(805) 653-0620

Hours of Operation

Monday:

9:00 am-6:00 pm

Tuesday:

9:00 am-6:00 pm

Wednesday:

9:00 am-6:00 pm

Thursday:

9:00 am-6:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed