Patient Forms

For your convenience, Mark Wojciechowski, DDS, PC has the following new patient forms to print, fill in on your own time, then bring to your first appointment:

•	Dental History Form
•	Dr. Mark's Whitening Club

Mark A. Wojciechowski
DDS, PC

800 S. Milwaukee Avenue,
Suite 111
Libertyville, IL 60048

Phone: 847-362-5511
Fax: 847-362-5198
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Mark A. Wojciechowski
DDS, PC
800 S. Milwaukee Avenue, Suite 111
Libertyville, IL 60048

Phone: 847-362-5511

Office Hours

Monday
Tuesday
Wednesday
Thursday
Friday
Saturdays

9:00AM - 6:00PM
8:00AM - 5:00PM
8:00AM - 5:00PM
Closed
8:00AM - 2:00PM
By Appointment Only

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