Our office strives to keep our patients PHI private. Please help us by filling out this form to allow us to give grandparents, relatives, orthodontists, oral surgeons, or anyone else you would like to represent your child/children.
Authorization of Protected Health (PHI)
J. Mark Bayless, D.M.D.333 El Dorado Street Monterey, CA 93940 Phone: 831-375-9232Fax: 831-372-0485
J. Mark Bayless, DMD •
Address: 333 El Dorado Street
Phone: Monterey Office Phone Number 831-375-9232 •
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