Patient Information
Please fill out these two forms prior to coming to our office. Thank you.
Medical History
These are the documents that will be presented to you to read at your first appointment. To save some time on your first appointment, you can read these ahead of time.
Notice of Privacy Practices
Patient Rights
Dental Material Fact Sheet Booklet
Consent for xrays, exam and cleaning
Our Office
Rancho Cucamonga
My family and I have been going to Dr. Dan for several years. He's a wonderful dentist and the staff is amazing, especially Alex and Emily. The office is very clean and modern. State of the art dental equipment as well. I highly recommend Dr. Dan to family and friends.
Indiana S.
Dr. Dan and his team are amazing. I went in for an emergency tooth extraction. Dr. Dan and his nurse Brittney made me feel very comfortable and the procedure went by smooth, fast, and with very very little discomfort. So glad I was able to be taken care of and treated very kindly by Dr. Dan and his team.
Skiey H.
I have ALWAYS been afraid of going to the dentist because it was so painful due to cavities, wisdom teeth, deep cleaning... you name it. Even x-rays hurt when they put films in your mouth! But this is not the case with Dr. Dan. Not only is he a very skilled dentist, he's a very nice guy who takes the time to explain all procedures thoroughly, answer any questions you may have. Additionally, his front desk staff are very friendly and were very responsive to questions I had regarding my insurance coverage and paperwork. To top it off, my dental visit actually started on time. Based on my experiences with other dentists, I expected to start about an hour past my appointment time, but that was not that case at all. Overall, exceptionally superb service all around with Dr. Dan. I will be coming back for my check up as a good teeth patient should.
Binh N.
Victoria Village Dentistry is a small practice in Rancho that is great at what they do. The team is quick & efficient like Dr. Dan. They have been our dentist for 2 years and every time I go in I don't have to wait long to be seen. Whatever procedure I need done Dr. Dan quickly gets it done. If you have any issues when going in you let the assistant know and the Dr. will answer any questions you may have and take care of it. I highly recommend them to anyone in the area searching for a new dentist.
Lily C.
Contact Us