Patient Registration


 

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

 

Online Registration Form

 

Location
Kian Farzaneh, DDS
903 San Ramon Valley Blvd., Suite 126
Danville, CA 94526
Phone: 925-231-0977
Fax: 925-831-9218
Office Hours

Get in touch

925-231-0977