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Call (708) 339-9999
  • South Holland, IL - 16111 La Salle St, 60473-2064
  • Hanover Park, Illinois - 7420 Barrington Rd. 60133
  • (708) 339-9999 | South Holland, IL - 16111 La Salle St,
  • (630) 855-5574 | Hanover Park, Illinois - 7420 Barrington Rd.

Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Patient Forms (Print & Complete All Forms Prior To First Office Visit) 

 

 This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

Testimonials

She is a great Dentist ,very professional. Staff and herself are so polite and friendly love coming here very well recommend. Always incredibly nice and great knowledge in the industry!

Maria R.

Best dental place I have ever been into, very friendly staff and Doctor Mustafa is wonderful she explained to me in details all the work I needed in my mouth, highly recommend

Dayonna W.

Best Doctor ever me, my sisters and their kids all go to that place

Suzan K.

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Office Locations

  • South Holland
  • 16111 La Salle St,
  • South Holland, IL
  • 60473-2064
  • Map & Directions
  • Call: (708) 339-9999
  • Hanover Park
  • 7420 Barrington Rd.
  • Hanover Park, Illinois
  • 60133
  • Map & Directions
  • Call: (630) 855-5574

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