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PLEASE UPDATE MEDICAL HISTORY FORM BY 1/26/23



Here is the link to our confidential  patient information forms:
https://patientviewer.com/WebFormsGWT/GWT/WebForms/WebForms.html?DOID=35436&WSDID=12454&NFID=12372&NFID=13524&NFID=13535&ReturnURL=https%3a%2f%2fwww.drtakeuchi.com

MARK NO ON WOMEN QUESTIONS

Office of Doug Takeuchi, DDS
189 N Bascom Ave Ste 110
where-I-live 95128
(408) 295-5651




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