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  • Dr. Michelle Bittner
  • Dr. George Michaels
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  • Shoreh Hemmati
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or Schedule a Complimentary Consultation

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New Patient Questionnaires

Please print out the following forms for your first visit, and bring them into the office with you already filled out.

New Patient Dental Forms
Acquaintance Form
Medical History Form

890 Saratoga Ave
San Jose, CA 95129

408-247-8080

OFFICE HOURS:
Mon - Thurs: 8:00am - 6:00pm
Fri: Close
Sat: 8:00am-4:00pm

Click here to Schedule an Appointment Online

You may also email us to schedule an appointment,
send your new patient forms or ask a question: sue@bittnerjrdds.com