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Patient Portal


 

Online Forms

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Online Patient Forms - Click Here

Instructions:
- These forms are for both new and existing patients
- If you do not have an appointment date yet, enter today's date
If you are unclear about which form to complete, please contact us at 408-578-7121


Patient Portal Access

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Portal Access - Click Here

iDent secure portal allows you to access your full patient account, including statements, bill pay, appointments, and treatment.
Instructions:
- First time users will register. Our office will receive a notification to validate your portal access. This may take 1 business day.
- Passwords are limited to nine (9) characters. If you are having difficulty logging in, please try only the first 9 characters of the password you created.

Location
Jaclyn Martinez, DDS
827 Blossom Hill Road, Suite E7
San Jose, CA 95123
Phone: 408-578-7121
Fax: (408) 578-7127
Office Hours

Get in touch

408-578-7121