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Please take a minute to print and fill out the patient information form before your first appointment:

  • Patient Form (Child):
    PDF | DOC
  • Patient Form (Adult):
    PDF | DOC
  • Patient Form (Child & Adult):
    PDF | DOC

If you’re unable to open PDF files, you can get Adobe Reader® for free.

SURFSIDE OFFICE

Open Today 8:00am-2:00pm All hours

260 95th St Ste 202 Surfside, FL 33154

Directions (305) 865-0453

"The best dentist ever. Great service and staff. I used to dislike going to the dentist, until I met Dr. Benmergui. He is a great person and a very professional dentist." Marilyn M.

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