Lakewood Location: 562-429-2459
Villa Park Location: 714-516-9626
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Patient Forms



For your convenience, we have supplied Patient Registration, Dental and Health History Forms in pdf format.  If you wish, click on the link below, print, complete the form at home, and bring it with you to your first visit!  We look forward to greeting you!

 

If you would prefer, we also offer online patient registration:

Register online for Lakewood Dentist Dr. Mangigian

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Our New Patient Offer

For Patients w/o Insurance
Free x-rays and exam
With first dental cleaning
- or -
Free Fluoride Treatments
FOR LIFE
Simply complete the form below to take advantage of this special offer.

Expires:02/24/2012




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Ray Mangigian, DDS · Lakewood Dentist - Long Beach Dentist - Cerritos Dentist - Bellflower Dentist

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