Salinas
(831) 443-3524
608 E. Boronda Rd., Suite B
Salinas CA 93906
Greenfield
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Patient Forms

Patient Forms

Filling our Forms

To continue making your dental experience pleasant, we have conveniently provided our dental forms below, so that you can fill them out in the comfort of your home and bring them into the office with you.


form iconMedical History
form iconInsurance
form iconRelease of Dental Records
form iconTeledentistry Consent
form iconCOVID-19 Screening
form iconCOVID-19 Acknowledgment of Risk

About Dr. Ernesto Mireles
forms

Salinas CA Implant Dentist

Office Hours

  • Monday:
  • Tuesday:
  • Wednesday:
  • Thursday:
  • Friday:
  • Saturday:
  • 8:00am-7:00pm
  • 8:00am-7:00pm
  • 8:00am-7:00pm
  • 8:00am-7:00pm
  • 8:00am-7:00pm
  • 8:00am-7:00pm

Contact Info
Phone | (831) 443-3524
Fax | (831) 674-0462
E-mail |

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You can also call us at (831) 443-3524 to request an appointment.