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New Patient Forms


Man completing new patient forms for Thiells Dentist - Michael Bleyzer, DDS For your convenience, you can download the initial paperwork and bring it with you for your first visit. Our Patient Information Form is available below in Adobe Reader format.

Download New Patient Forms
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Michael Bleyzer, DDS

(845) 429-8060
14 Thiells Mt. Ivy Road
Pomona, NY 10970-3038
Right off of Exit 13 Palisades Parkway

Hours

Mon: 10am–7pm
Tues: 10am–6pm
Wed: 8am–5pm
Thurs: 10am–6pm
Saturday: 9am–3pm
Additional hours may be available by appointment


Serving entire Rockland County New York: Pomona, Suffern, Valley Cottage, New City, Congers, North Rockland Towns of Thiells, Stony Point, Garnerville, Haverstraw and West Haverstraw, and Tomkins Cove.

Copyright © 2019 Michael Bleyzer, DDS and WEO MEDIA. All rights reserved.  Sitemap | Links