ACCESSIBILITY
Relax And Smile Dental Care
Steven E. Roth DMD, CHt, CMT
Giving Miami a Reason to Smile!
Call: (305) 358-3384

New Patient Forms

Welcome- We can't wait to meet you!

Bring these with you to your first appointment:

1) Completed Patient Forms(You can fill them out at the office, too)

2) If you have insurance, bring your insurance card or member ID and group number

3) A valid form of ID


 

 

 


138 NE 2nd Avenue | Suite 200 | Miami, FL 33132
Phone: 305-358-3384 - Fax: 305-358-2368 mgrelaxandsmile@gmail.com

Monday: 1:00pm-7:00pm | Tuesday-Thursday: 9:00am-5:00pm |
Friday: 9:00am-3:00pm | Saturday, Sunday: Closed

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