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College Street Family Dental | Patient Registration Forms in Covina

COLLEGE STREET FAMILY DENTAL

Edison Han, DDS, FAGD
Fellow of Academy of General Dentistry

153 West College Street, Covina, CA 91723
Tel: 626-498-2472

 
 

Thank you for choosing our office to provide your dental care. We appreciate your trust and look forward to working with you.  

Please print and fill out the registration forms prior to coming in for your first appointment.  Please bring a list of your medications to your appointment.  Do not discontinue any medication that is prescribed by your doctor.

If you have a HMO insurance,  please contact your insurance and verify your eligibility prior to your appointment.  If you are not assigned to our office with your HMO insurance, please contact your insurance and request to be assigned to our office.  If you have any questions, please ask the front desk.

If you have a PPO insurance, please provide us with your insurance information and your birthrday prior to your appointment, so that we can obtain your benefits.

New insurance as well as changes in insurance must be provided to this office prior to an appointment. Failure to provide correct and current insurance information may result in the entire bill being your responsibility.

Contact Us Today To Book Your Appointment!

 
 
 
 

 Dentist Covina, CA. Dr. Edison Han provides Dental Implants, Endodontics, Root Canal, Teeth Cleaning, Oral Surgery, Teeth Extractions, Teeth Whitening to the following locations: West Covina, CA, Glendora, CA, Azusa, CA, La Puente, CA, San Dimas, CA. West Covina, CA 
Dentist provide affordable dental care in Covina and accepts all PPO and HMO insurances, including Delta Dental, DeltaCare, Aetna, Cigna, United Concordia, Safeguard, Metlife, Liberty, Liberty, Medicare, and Medi-Cal.
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Dental Implants Glendora, CA, Endodontics Glendora, CA, Root Canal Glendora, CA, Teeth Cleaning Glendora, CA, Oral Surgery Glendora, CA, Teeth Extractions Glendora, CA
Dental Glendora Glendora Dental

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Dental Implants  Azusa, CA, Endodontics  Azusa, CA, Root Canal  Azusa, CA, Teeth Cleaning  Azusa, CA, Oral Surgery  Azusa, CA, Teeth Extractions  Azusa, CA
Dental  Azusa  Azusa Dental

Dental Implants  La Puente, CA, Endodontics  La Puente, CA, Root Canal  La Puente, CA, Teeth Cleaning  La Puente, CA, Oral Surgery  La Puente, CA, Teeth Extractions  La Puente, CA
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Dental San Dimas San Dimas Dental
Dental Implants West Covina, CA, Endodontics West Covina, CA, Root Canal West Covina, CA, Teeth Cleaning West Covina, CA, Oral Surgery West Covina, CA, Teeth Extractions West Covina, CA
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