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815-434-0152  |  1703 Polaris Cir. 3, Ottawa, IL

home-BG Mark Benavides, DDS - Dentist | Ottawa, IL twitter logo-blue boxSM facebook logo-blueSM

Please fill out this form online, securely. This can be done on any computer, smartphone, or browser.  Both you and our dental office will receive a confirmation email once you've answered all the questions. Should you need to return and make changes or complete the history, you will be given a link. This link is good for a week.

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