New Patient Forms
Please print out the New Patient Form (Form 1) and the Dental - Medical History Form (Form 2), and fill them out before your first appointment.
Form 1
Form 2
715 S 1st Ave, Suite D (3rd Floor)
Arcadia, CA 91006
Phone: (626) 445 - 8600
Fax: (626) 445 - 8601
Eunice Y. Im, DDS
Pediatric Dentist
M - F: 8:30 AM - 5:30 PM
Saturday: By Appointment
Sunday: Closed