Click to Call or Text Mengedoth Dental - Fargo
2585 23rd Ave. Suite C. Fargo, ND 58103
Call: (701) 356-1280
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PATIENT REGISTRATION FORM

YOUTH PATIENT REGISTRATION FORM - (Patients age 16 and under)

ADULT MEDICAL HISTORY - (Required for New Adult Patients)

ADULT DENTAL HISTORY - (Required for New Adult Patients)

GUIDELINES FOR PATIENT SEDATION

PATIENT AUTHORIZATION FORM

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PERMISSION FORM FOR WEBSITE COMMENTS

Family Dentistry  Cosmetic Dentistry  Dental Emergencies  Dental Implants  Dentures  Teeth Whitening  Veneers  Invisalign  TMJ 

Fargo, North Dakota dentist, Mengedoth Dental is committed to dental excellence and offers patients a comprehensive list of family and cosmetic dental services including dental cleanings & exams, teeth whitening, tooth colored fillings, crowns, bridges, dentures, Invisalign, emergency dental care, and more. Please come and visit Fargo, ND dentist, Dan Mengedoth DDS.

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