Prior to an appointment with our office, please fill out and print the forms below:
Patient Information Form (237 KB) Medical History Form (281 KB) Right-click to download
Patient Information Form (237 KB) Medical History Form (281 KB)
Our office is located at 16311 Ventura Blvd., Suite 625; Encino, CA 91436:
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The Encino, CA office of Kory M. Zussman, D.D.S., offers treatment of all aspects of periodonal disease, cosmetic gum surgery, dental implants and more.