NEW PATIENT FORMS
Please complete the following patient information forms and fax to 925.756.1202 or bring them with you at your first initial visit.Our medical forms are in pdf format. You will need adobe acrobat to read these and print them. If you do not have Adobe Acrobat, you can download it by clicking here
Experience the difference!
• Early morning, lunchtime, evening and   Saturday appointments
• Family and cosmetic dentistry
• Fluent in Spanish & Tagalog
• Interest-free payment plans available
• Most insurance plans accepted
• Children are always welcome
Learn more
I appreciate the gentle touch of Dr. Nassiri. I was nervous about getting some much needed dental work done. At the end I was amazed by the
lack of pain involved. She is a great dentist. The staff is also friendly
and careing "

Robin, Oakley


"First Dentist I have been comfortable with... Well done and happy! "
Janet, Discovery Bay


"I had a very good first experience and am looking forward to going back again!"

Carrie, Antioch


"Everyone was wonderful. My children expressed how happy they were with their treatment and staff."
Audry, Brentwood


"Feeling comfortable is important to me. The staff has been excellent in this area. (upfront, honest, informative)"

Steve, Oakley


"Perfect in every way, the soothing chairs and over all enviornment make me fell like I'm at a beautiful spa! "

Andrea, Pittsburg


"Very professional & personable- I felt well cared for. Love the scented pillows!"
Carol, Brentwood


"Very pleased by the quality of staff & service. Thank you! I’ll be sure to tell people about your office"
Willham, Antioch


"Thanks for the quality of the work you do. It is muchless traumatic to visit the dentist when there is no pain involved and when the patients are treated in a friendly and honest manner."
Teresa, Antioch
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