OUR SUCCESS IS MEASURED BY THE EXTENT OF YOUR SMILE
Dr. ZAK
Sea Breeze

Dental Care

No Insurance? Check out our In-house Dr. ZAK DENTAL PLAN! 
PATIENT REGISTRATION
Online Patient Registration Form
▼ CLICK HERE▼ 
When you submit personal information, we offer the use of a secure server. The secure server software (SSL) encrypts all information you input before it is sent to us. Furthermore, all of the patient information we collect is protected against unauthorized access.

Dr. ZAK Sea Breeze Dental Care has provided the following forms in PDF format for your convenience.

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Download Forms:
Dr. ZAK DENTAL PLAN
Office: Dr. Zak Dental Care
Valencia, CA 91355
877-800-1378
46Kb
Dr. ZAK DENTAL PLAN
Office: Dr. Zak Family Dentistry
Simi Valley, CA 93063
877-800-2307
46Kb
Dr. ZAK DENTAL PLAN
Office: Sea Breeze Dental
Agoura Hills, CA 91301
877-800-2780
46Kb
Dr. ZAK DENTAL PLAN
Office: Sea Breeze Dental Care
Santa Barbara, CA 93111
877-800-2801
46Kb
Patient Information 255Kb
Informacion Sobre El Paciente 289Kb
Health Questionnaire 436Kb
Cuestionario Acerca De Su Salud 384Kb
Orthodontic Department, Patient Registration 192Kb
Departemento De Orthodoncia, Registro Del Paciente 692Kb
Orthodontic Health History 218Kb
Historial Medico Para Orthodoncia 755Kb
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PROCEDURES
 Cleanings
 Periodontal Disease Treatment
 Metal Free Dentistry
 Porcelain Veneers - Cosmetic Dentistry
 Dental Implants
 Night Guard
 Oral Cancer Screening
 Teeth Whitening
 Root Canal Therapy
 Orthodontic Treatment
 Sedation Dentistry
 Full Mouth Reconstruction
 Full Network of all Specialties
We make dentistry affordable for everyone with our special payment plans and affordable financing

OFFICES

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© 2009 Dr. Zak Sea Breeze Dental Care