Balentine Plaza Dental Care
Cosmetic Dentistry
Newark, CA
(510) 656-4400
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  • PATIENT INFORMATION
    • Introduction
    • First Visit
    • Scheduling
    • Financing
    • Insurance
    • Infection Control
    • Advanced Technology
    • Home Instructions
    • Smile Gallery
    • Special Offers
    • Patient Forms
      • HIPAA Consent Form
      • Health History
    • Testimonials
      • Demandforce Testimonials
    • Promotional Contest Winners
  • OUR SERVICES
    • Conscious Sedation
    • Fillings / Restorations
    • Amalgam Fillings
    • Dental Sealants
    • Dentures
    • Bridges
    • Dental Implants
    • Crowns
    • Tooth Extractions
    • Laser Periodontal Therapy
    • Non-Surgical Root Canal
  • COSMETIC TREATMENTS
    • Bonding
    • Porcelain Veneers
    • Inlays and Onlays
    • Teeth Whitening
    • Clear Braces - Invisalign
  • DENTAL HEALTH
    • Oral Hygiene
    • Child Dentistry
    • Dental Dictionary
    • Periodontal Maintenance
    • Dental Specialties
  • MEET US
    • Welcome Message
    • Meet the Doctor
    • Meet the Team
  • CONTACT US
    • Contact Information / Office Map

PATIENT INFORMATION

  • Introduction
  • First Visit
  • Scheduling
  • Financing
  • Insurance
  • Infection Control
  • Advanced Technology
  • Home Instructions
  • Smile Gallery
  • Special Offers
  • Patient Forms
    • HIPAA Consent Form
    • Health History
  • Testimonials
    • Demandforce Testimonials
  • Promotional Contest Winners

HIPPA Consent Form

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Balentine Plaza Dental Care | Dr. Teresa T. Mercado

5866 Mowry School Road • Newark, CA 94560 • (510) 656-4400

Newark Dentist Dr. Mercado provides sedation, cosmetic and general dentistry including dental implants, porcelain veneers, laser therapy

and teeth whitening to Fremont, Milpitas, Union City, Hayward & Dublin CA

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