Richard Haber

DDS

 

Performing

  Distinctive  Dentistry

 

 

 

 

 

      Veneers    

 

..

     Implants    ,

  Digital Xrays  

       Onlays    

 

  

         Dental Forms
 

1260  15th St  # 701  .

Santa Monica  CA 90404  .

Tel: (310) 393-7766  .

Fax: (310) 394-8066  .

 

In order to view and print these forms you will need Adobe Acrobat Reader. Clicking on the "Adobe PDF" graphic will take you to the Adobe site where you can download the appropriate version for your specific platform and operating system.   It's FREE!

   PDF Patient Forms

 

Save time, update or fill your dental forms before your scheduled visits:

 

1-Patient Information form                (PDF)    or     Word Doc

2-Patient Medical History page 1      (PDF)    or     Word Doc

3-Patient Medical History page 2      (PDF)    or     Word Doc

4- Protecting your privacy                                       Word Doc

 

General Information

a- Notice of Privacy Practices  information               Word Doc            

b- Dental Materials Fact Sheet information               (PDF)

c- Dental Materials Fact Sheet  authorization            Word Doc

 

Print the forms,  complete them and than you can :

         fax them to:   (310) 394-8066

or   Mail them to :   Richard Haber DDS

                               1260  15Th St #701

                               Santa Monica   CA  90404

 or   Bring them with you to your scheduled appointment.

 

 

Richard Haber DDS 

Cosmetic Dentist Santa Monica dentist Porcelain Veneers Dental Implants

 

Offering

Distinctive Cosmetic Dentistry for Santa Monica, Malibu, Pacific Palisades, cosmetic dentist West Los Angeles, Marina Del Rey, Brentwood, Westwood, Hollywood, Beverly Hills, Los Angeles cosmetic dentistry

1260 15th St # 701 Santa Monica CA 90404 Tel: (310) 393-7766

 

Get Map to our office here

 

Performing Cosmetic Dentistry in

Santa Monica, Hollywood , Malibu, Pacific Palisades, cosmetic dentistry West Los Angeles, Marina Del Rey, Brentwood, Westwood, Beverly Hills Los Angeles Cosmetic Dentistry

 

click here to download

  Macromedia Flash player

Los Angeles Cosmetic Dentist

Los Angeles Cosmetic Dentistry

- Porcelain Veneers
-
Porcelain Crowns
-
Closing Space
-
Teeth  Whitening

- Dental Bridge
-
Dental Cantilever Bridge
-
Do Nothing
-
Dental Implant / Cemented Crown
-
Dental Implant / Fixed Crown
-
Maryland Bridge

 

Cusp Fractures

- 3/4 Porcelain Crown
-
Porcelain Crown
-
Filling
-
Crown Lengthening
-
Root Canal - Direct
-
Root Canal - Indirect

 

Tooth Decay

- Porcelain Crowns
-
Extraction
-
Filling / Dental Bonding
-
Porcelain Inlay
-
Porcelain Onlay
-
Root Canal - Direct
-
Root Canal - Indirect
-
How Teeth Decay

 

Multiple Missing Teeth

- Bar Supported Denture
-
Do Nothing
-
Full Denture
-Dental Implant Supported Denture
-
Removable Partial Denture

 

Periodontal Disease

- About Periodontal Disease
-
Gingival Grafting
-
Dental Scaling

 

Prevention

-Teeth Brushing
-
Teeth Flossing
-
Sealants
-
Regular Dental Visits

 

Wisdom Teeth

- Partially Erupted
-
Impacted

 

Offering The Latest Technology


-Digital Xrays

-Intraoral Cameras

-Digital Imaging

-Chairside computers

-Fully networked office

-Internet access

 

Performing Cosmetic Dentistry in

Santa Monica, Hollywood , Los Angeles, Malibu, Pacific Palisades, cosmetic dentistry West Los Angeles, Marina Del Rey, Brentwood, Westwood, Beverly Hills cosmetic dentistry

 

 

.