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  • Cupertino Office
  • 10353 Torre Avenue, Suite D
    Cupertino, CA 95014
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  • (408) 257-0723
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    • Meet Dr. Sophia Bulucea
    • Meet Dr. Geraldine Gerges
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  • Orthodontics
    • About Orthodontics
    • Early Orthodontic Treatment
    • Adult Orthodontics
    • Common Treatments
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    • Carriere® Self-Ligating Bracket System
    • TADs
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  • Wearing Braces
    • Life with Braces
    • Types of Braces
    • Brushing and Flossing
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  • Pediatric Dentistry
    • Dentistry For Kids
    • Why Choose a Pediatric Dentist
    • Dental Care For Your Baby
    • The Importance of Baby Teeth
    • Gum Disease in Children
    • Pediatric Dental Emergencies
    • Nutrition and Oral Health
    • Baby Bottle Tooth Decay
    • Special Needs Dentistry
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    • Sports Dentistry
    • Teeth for Life
  • Treatment Options
    • Preventive Care
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    • Cupertino Office Location
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  • Meet Your Orthodontist
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  • Meet Your Pediatric Dentist
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  • Zocdoc Appointment

Patient Forms

More Topics

Office Visits - Pediatric | Office Visits - Orthodontic | Financial Information | Patient Forms

Please take a minute to complete the appropriate patient information forms and submit 24 hours prior to your appointment.

  • COVID-19 Questionnaire
  • Health History Form
  • Pediatric Health History Form

We look forward to meeting you and your child at your first appointment.

American Association Of Orthodontists American Dental Association American Dental Association American Board of Pediatric Dentistry
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