Patient Info

Patient Forms Packet:

New Patient Forms.pdf

Application form can be faxed to us at (909) 481-7722. 


Additional Patient Forms

Consent Form

HIPAA Consent Form

Patient Screening Form

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Contact Us

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

Ready to come in for an appointment?
Contact us today!

New Smile Dentistry
Villamor R. Usita, D.D.S., Inc.
Mind. Body. Soul. Smile!

Rancho Cucamonga dentist, Dr. Villamor R. Usita is dedicated to excellence in cosmetic, orthodontic and general dentistry, specifically Invisalign, Zoom and Rembrandt teeth whitening, porcelain veneers and emergency care. Located in Rancho Cucamonga, California the office serves patients throughout San Bernardino County including neighboring cities such as Ontario, Upland, Alta Loma, Fontana, Claremont, Montclair, Pomona and LaVerne.


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