Marshall B. Young, D.D.S.

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Patient Forms

Please complete, print and sign forms 1 and 2 and bring to your scheduled appointment.

1) Medical History

2) Financial Agreement

3) Notice of Privacy Practices

Contact Info

Address
2043 Westcliff Dr, #300
Newport Beach, CA 92660
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Phone
Tel: (949) 631-3733
Fax: (949) 631-3768

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The information available on this web site is provided for informational purposes only. This information is not intended to replace a medical or dental consultation where a physician's or dentist's judgment may advise you about specific disorders, conditions and or treatment options. We hope the information will be useful for you to become more educated about your oral health care decisions.
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