contact us

Use the form on the right to contact us.

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8120 Foothill Blvd.
Suland, CA 91040
United States

(818) 352-3174

James E. Mertzel D.D.S

Sunland/Tujunga family and cosmetic denistry 

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Forms

New Patient Forms

Contact Us

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Name
Home Phone
Home Phone
Cell Phone *
Cell Phone

Please click on your preferred language, print, fill out, and bring in on your first office visit.

English — Patient Form

Español — Patient Form

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