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Mission Terrace Dental

Mission Terrace Dental

Creating Health Smiles

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First Visit

 

Save time by filling out our New Patient forms ahead of time.

 

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Please complete ALL forms that apply to you. Click on each link to open each form in a new tab/window. Your answers will be sent securely to our servers. Contact our office if you have any questions or problems.

 

 
  • Patient Information
  • Medical History
  • Dental History
  • Young Child New Patient Questionnaire (under 6 years of age)
Alternatively, you may fill out these forms electronically during your visit at our office (Please arrive 10 minutes earlier.)

 

Don’t have an appointment yet?
Book an Appointment
or
Request an Appointment

 

Dr. Phyllis Chen
Dr. Michael Nguyen
Dr. Mallory Tucker
(415) 586-3155

New Patients
Book Now!

Our Office

1794 San Jose Ave.
San Francisco, CA 94112
Easy parking, off J MUNI line, Glen Park or Balboa Park Bart stations

Tel: (415) 586-3155
8:30am – 5:30pm: Mon Tue Wed Fri
8:30am – 6pm: Thurs

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  • About Us
    • Our Team
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    • Eco-Friendly Practices
    • Giving Back
    • Patient Reviews
  • Services
    • Payment & Insurance
    • Smile Gallery
  • First Visit
  • Contact Us
    • Request An Appointment
    • Location & Hours

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