Bridge Versus an Implant
Screw-Retained Implant (Posterior Healing Cap)
Bone Graft (Socket Preservation)
Screw Retained Dentures

Request an Appointment at Morro Bay Family Dentistry

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1
Are you an existing patient with our practice?
  • AYes
  • BNo
Choose one option
2
Will you be using insurance for this appointment?
  • AYes
  • BNo
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3
What is the reason you need a dental visit?Let us know what you need so we can make sure you get the best care - even if it's just a checkup!
  • ACheckup & Cleaning
  • BSpecific Treatment
  • CUrgent Issue
4
Do you have a preferred time to see the dentist?
  • AEarly (before 9am)
  • BMorning (9am - 12pm)
  • CNoon (12pm - 2pm)
  • DAfternoon (2pm - 5pm)
5
How soon do you want to visit the dentist?
  • AAs soon as possible
  • BWithin 1 week
  • CWithin 2 weeks
  • DIn more than 2 weeks
6
Are you experiencing any kind of pain?
  • AYes
  • BNo
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7
What is your name?
8
What is the best phone number to reach you at?
9
What is your email address?Please Provide your Email Address
10
When would be a good time for our staff to reach you and confirm the appointment?Should we contact you via phone or email? Would it be better to call in the morning or afternoon?
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747 Bernardo Ave,
Morro Bay, CA 93442
Tel: (805) 772 - 8585
Morro Bay Family Dentistry. All Rights Reserved
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