Regis Atienza DMD and Annabelle Atienza DMD Dentistry for Adults and Children (209) 594-1119 (209) 405-3190 text Monday to Thursday 8:00 am to 6:30 pm 2431 W. March Lane Suite 100A Stockton Ca 95207
Regis Atienza DMD  and  Annabelle Atienza DMD  Dentistry for Adults and Children    (209) 594-1119     (209) 405-3190 textMonday to Thursday   8:00 am to 6:30 pm2431 W. March Lane Suite 100AStockton Ca 95207

Patient Forms  to be updated soon

New patient? Please download and fill out the following forms when you come in for your first appointment. 

Patient Medical History Form

This form is mandatory for new patients. To expedite your visit, please print this form, fill it out and bring it with you for your first visit.

Privacy Notice

Please read over and sign our Notice of Privacy Practices, acknowledging our privacy policy. This form should also be brought to your first appointment.

Privacy Notice
New file download

Make an Appointment

Call: (209) 594-1119

Fax: (209) 594-1740


Text: (209)405-3190


2431 W. March Lane 

Suite 100-A

Stockton Ca 95207



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