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    • Crowns & Bridges
    • Veneers
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Menu
  • Home
  • Meet The Team
  • Our Services
    • General Dentistry
    • Emergency Dentistry
    • Root Canals
    • General Cleaning
    • Preventative Care
    • Dentures
    • Dental Implants
    • Tooth Extractions
    • Crowns & Bridges
    • Veneers
    • Teeth Whitening
  • Testimonials
  • Patient Info
  • Contact Us

Patient Info

PAtient Info

Please complete the following forms online prior to your scheduled appointment.

  • Patient Information
  • Medical History
  • Dental History
  • Insurance Information
  • Authorization and Acknowledgement
  • Communication Release
  • COVID-19 Screening

Ready to schedule an appointment?

Fill out the form and one of our friendly staff will assist you.

Lakeside Dental Your Dentist

Contact us today!

Address

1051 Western Ave
Manchester, ME 04351

Email Address

lakesidedentalmaine@gmail.com

phone

(207) 621-0136
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