WE KEEP PHOENIX SMILING
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602.954.8200
4202 N. 32nd Street, Suite B, Phoenix, AZ 85018
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For all teachers and military personnel
Who do not have dental benefits
Office Hours
Monday
Tuesday
Wednesday
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Friday
10 a.m. to 7 p.m.
10 a.m. to 4 p.m.
9 a.m. to 3 p.m.
(by appointment)
7 a.m. to 4 p.m.
7 a.m. to 1 p.m.
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Patients Forms
Please fill out the form below if you are visiting Biltmore Dental Center for the first time.
Registration & Health History Form
Please take a moment to read this office's notice of privacy practices.
HIPPA Notice (.pdf)
If you wish to have your previous dental records sent to Biltmore Dental Center, please download the link below:
Request Previous Dental Records to be sent to Biltmore Dental Center (.pdf)
To view these forms, you will need Adobe Acrobat Reader. It is free software that can be found at
www.Adobe.com
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Dentists in Phoenix
Dr. Koppikar has been named a Top Phoenix Cosmetic Dentist in the Consumers' Research Council of America's Guide to America's Top Dentists.
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