New Patient Forms

You can complete your patient registration online any time before your appointment by clicking below: 


New Patient Adult Registration

New Patient Child Registration


If you prefer to complete your patient registration in our office, please arrive 15 minutes prior to your appointment time. 

Expert Dental Care

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Appointments

Contact us today to book your appointment at Pan Pacific Dentistry.

P: 626-858-6988 Appointment Request
Our Location

Pan Pacific Dentistry- Ray Pan, DDSCovina, CA 91723Get Directions626-858-6988

Contact Us

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

West Covina, California Dentist, Dr. Ray Pan is dedicated to cosmetic dentistry such as Teeth Whitening, Veneers, Dental Implants, Crowns and more.

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