(818) 831-8252

11200 Corbin Ave. Ste. 108

Northridge CA 91326

Pediatric DentistHome.html

Dr. Rebecca Lee  D.D.S

A Dental Corporation

 

click on the link below to download a Microsoft Word Document that you can fill out on your computer and email back to us at:

click on the “download PDF” link below to open a PDF of the form that you can print, fill out and bring with you on your next office visit.