Sherman Oaks Dentist         Cosmetic Dental Studio          Cosmetic Dentistry

Harold Perlaza DDS
4955 Van Nuys Boulevard Suite 202 = Sherman Oaks CA = 91403 = (866) 469-8490
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For New Patients of Dr. Perlaza

Just complete the following form and one of our team members will contact you as soon as possible to schedule a convenient time for your first appointment.

Please provide the following contact information:
Title & First name
Last name
Middle initial
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Work phone
Home phone
Call me at
Best time is
How did you hear
about us?		  
Fax  
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Referred By
(Mrs. Jones)

 
 We respect your email privacy.  We promise to never sell, barter or rent your email address to any unauthorized third party.
 

 

Office Hours
=Monday  9:00 - 6:30
=Tuesday  8:00 - 5:30
=Wednesday   8:00 -3:00
=Thursday  9:00 - 6:30
=Friday 8:00 - 5:30
=Saturday            8:00 - 2:00
Every other Saturday

 

Click here to E-mail your doctor directly


 

Call (866) 469-8490 Now To Make An Appointment


Dentist
In Sherman Oaks California and the surrounding
Studio City - Van Nuys - Encino - Woodland Hills CA areas.
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