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      • Scaling & Root Planing
      • Senior Dentistry
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Dr. Casellini in the Media
  • Home
  • Meet the Team
  • Dental Services
    • Cosmetic Dentistry
      • Invisalign®
      • KöR® Take-Home Teeth Whitening
      • Swiss Quality Dental Veneers
      • Zoom In-Office Teeth Whitening
    • Dental Technology
      • Digital X-Rays
      • Intraoral Cameras
      • Laser Dentistry
      • ViziLite® Pro Oral Cancer Screening
    • General Dentistry
      • Dental Cleanings
      • Periodontal Treatments
      • Scaling & Root Planing
      • Senior Dentistry
      • Sleep Apnea Treatment
    • Restorative Dentistry
      • Dental Bridges
      • Dental Crowns
      • Dental Implant Restorations
      • Dental Inlays & Onlays
      • Dentures & Partials
      • Tooth-Colored Dental Fillings
  • Our History
  • Smile Gallery
  • Patient Resources
    • Financial Options
    • Patient Forms
    • Virtual Consult
  • Reviews
  • Contact Us

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Patient Forms

Fill out your patient forms in advance to save time and give us more time to pamper you when you visit Swiss Quality Smile! If you have any questions about our patient forms or to schedule your appointment with Dr. Ilona Casellini, our experienced dentist in Los Angeles, California, call us today at 310-208-3125.

New Patient Form
Privacy Act Form
Dental Materials Fact
The Facts About Fillings
Vizilite Screening Form
COVID-19 Screening Form
COVID-19 Consent Form
COVID-19 Credit Card

Visit Us Today!

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10921 Wilshire Blvd., #1013
Los Angeles, CA 90024

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310-208-3125

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Hours

Monday-Thursday: 7:30AM-4:30PM
Friday-Sunday: Closed

• Westwood Village • West LA/Or Near UCLA • Brentwood • Santa Monica


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