Open Hours
Open Hours
Mon - Thur: 8am - 6pm
Fri: 8am - 4pm
Sat: By Appointment Only

Patient Portal

We are happy to offer our patient forms online. Please feel free to print and fill them out at your convenience before your visit.

New Patient Registration

pdfNew Patient Form

Patient’s Notice of Privacy Practices

pdf NOPP

Patient’s Authorization and Acknowledgment Agreement

pdf HiPAA

If you are unable to view the pdf files, please click on the icon below to download and install Adobe Reader:
Adobe

Glendale Office
620 E. Glenoaks Blvd.,
Suite B Glendale, CA 91207
Phone : +1-818-244-7215
E-mail : smile@northbranddental.com

Moorpark Office
484 E. Los Angeles Ave #210
Moorpark, CA 93021
Phone : +1-805-532-1101
E-mail : drg@dentalsmilesstudio.com

Opening hours
Mon – Thur: 8am – 6pm
Fri: 8am – 4pm
Sat: By Appointment Only