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Take your smile from ordinary to extraordinary!
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Patient Forms

Patient Forms

- Member of ADA, CDA & Tri-County Dental Association
- Over 25 Years of Dental Expertise
- Graduate of UCSF School of Dentistry

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Young W Chung DDS Patient Forms

New Patients may access the following forms to assist us with your care. Please print and fill out the desired form, then bring it to your appointment.
Patient Health History Form

Extraordinary Dentistry Service for the Entire Family

Call us to schedule an appointment today!

(909) 793-2969

(909) 793-2969
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Excellent care - I've been a patient for over 12 years.

- Louise S.

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