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New Patient Forms

The following forms are provided to our patients online for download. Please print and complete the forms and bring them to your appointment.

If you have questions about any of the paperwork, please give us a call at 562-425-5511 and our staff will be happy to help you.

New Patient Registration

Location
6226 East Spring Street Suite 350
Long Beach, CA 90815-1423

Hours
Monday: 9:00 am - 5:00 pm
Tuesday - Thursday: 8:00 am - 5:00 pm
Friday: 9:00 am - 2:00 pm
Saturday - Sunday: Closed

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New Patient Forms
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Gary L. Glasband, DDS | garyglasband.com | 562-425-5511
6226 East Spring Street, Suite 350, Long Beach, CA 90815

Gary L. Glasband, DDS, 6226 East Spring Street, Suite 350, Long Beach, CA 90815 - 562-425-5511 - garyglasband.com - 9/25/2023 - Associated Words: dentist Long Beach CA -

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