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 Welcome to our Practice!

If you are a new patient, please fill out the registration form listed below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment along with any x-rays. We look forward to meeting with you!





1200 E Ridgewood Ave
Ridgewood, NJ 07450
(201) 670-7774
Guillermo J Molina, DDS    |     1200 E Ridgewood Ave, Ridgewood, New Jersey 07450    |     (201) 670-7774