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Call Us Today!
(262) 338-0022
Call Us Today!
(262) 338-0022

Patient Forms

Registration and Health Forms

Please print and fill out both forms and bring them to your first appointment with you.

West Bend Dental Center, S.C.
1500 S Main St
West Bend, WI 53095
Phone: (262) 338-0022
Fax: (262) 338-7982
Payment Options
In Business Since 1978

Business Hours

Mon: 07:30 AM - 08:00 PM
Tue: 07:00 AM - 08:00 PM
Wed:                  07:00 AM - 08:00 PM
Thur:                  07:00 AM - 08:00 PM
Fri: 08:00 AM - 04:00 PM
Sat - Sun: Closed
Appointments Available
Your smile is your personal greeting card to the world – it’s one of the first things people notice about you. If yours isn’t saying all you’d like it to, we can help.