Existing Patients Online Registration

Please complete the forms below prior to your visit.

Patient Form 1 of 4

Patient Form 2 of 4

Patient Form 3 of 4

Patient Form 4 of 4

Dental Office

Amalie Lomartire DDS, FACP
5 Durham Rd, C3
Guilford, CT 06437

Office Phone

New Patients:
(000) 000-0000 Current Patients and General Office Information:
(203) 453-4344

Office Hours

Monday: 8:00 AM – 5:00 PM
Tuesday: 8:00 AM – 5:00 PM
Wednesday: 8:00 AM – 5:00 PM
Thursday: 8:00 AM – 5:00 PM
Friday: Closed
Saturday: Closed
Sunday: Closed

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The information on this website is for general information purposes only. Nothing on this site should be taken as medical advice for any individual case or situation. This information is not intended to create, and receipt or viewing does not constitute a doctor-patient relationship.