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Practice Name

Dr. Mamak Saffarpour

Primary Location
3535 Ross Ave. Suite 200
San Jose, CA 95124
Phone: 408-269-2944
Fax: 408-264-3974

Office Hours

DayMorningAfternoon
Monday9:00 AM2:00 PM
Tuesday9:00 AM5:00PM
Wednesday9:005:00 PM
Thursday9:00 AM5:00 PM
FridayClosedClosed
SaturdayClosedClosed
SundayClosedClosed
Main Content

health_resources.pngDr. Mamak Saffarpour offers our patient form(s) online so they can be completed it in the convenience of your own home or office. Follow these easy three steps:

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Bring them with you to your appointment.

Registration -

Download & Print Form


Dental History & Patient Goals -

Download & Print Form


 Medical History Form

Download & Print Form


 Financial Responsibility

Download & Print Form



Download the Free AdobeReader®

Testimonial

I have been a patient of Dr. Saffarpour's for over five years now and I have consistently been very happy with my dental experiences....

Julie D. -
San Jose, CA


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Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Contact

Dr. Mamak Saffarpour
3535 Ross Ave. Suite 200
San Jose, CA 95124
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Office Hours

Day Morning Afternoon
Monday 8:30 AM 2:00 PM
Tuesday 9:00 AM 5:00PM
Wednesday 9:00 AM 5:00 PM
Thursday 9:00 AM 5:00 PM
Friday Closed Closed
Saturday Closed Closed
Sunday Closed Closed
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