Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Online Patient Registration Button

For more information about Columbia Center for Implants and Periodontics or to schedule a consultation with Dr. Peltzman, Dr. Jose or Dr. Torres, call our office in Columbia, MD at Columbia Office Phone Number 410-997-1189.