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Country Club Dental - Patient Forms

We welcome you to fill out our new patient forms before your first appointment with our dentists. By completing your paperwork in advance, you can ensure that your visit with Drs. Sonny and Fara Afshar is as efficient and streamlined as possible. If you need assistance in completing your forms, please feel free to contact our team by calling Country Club Dental at 530-240-6417. We are glad to help you in any way we can.

(Fill it out on your computer and print, or print it to fill out by hand.)

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530-240-6417

Check Out Our Reviews

It’s one thing for us to tell you all about how we operate, but no one tells our story like our patients. Read our reviews!

Watch our video to hear it from our patients just like you!

My family has seen Dr. Ashfar for more than 12 years. Our experience has been always pleasant. Thank you for keeping our smile healthy and beautiful.
Maria Santana
Maria Santana
04:00 22 Jan 19
Great customer service and the best dentist office in the area. They take many types of insurance that others don't take. Totally recommend the place.
Joshua Clark
Joshua Clark
01:38 16 Jan 19
First appointment yesterday to repair a crown put in by another dentist a couple of years ago. The staff was very friendly and professional. The facility was open and airy with great views out their wall of windows. Very happy with Country Club Dental.
Kelly Kendle
Kelly Kendle
16:10 15 Jan 19
Everyone, friendly, professional and courteous! Ashley was great! My teeth feel so clean! Thank you.
Rick Decker
Rick Decker
01:51 11 Jan 19
I am very pleased with the treatment that I have been receiving by all at Country Club dental. Justine has been most helpful with assisting me with scheduling my appointments and explaining my treatments and financial responsibility and Dr. Afshar is a fantastic dentist!
Melissa Gressett
Melissa Gressett
05:12 12 Dec 18
Awesome experience here. Both of our children have now been coming here for over a year, each time we have had nothing but the best experience. The front desk staff is very friendly, and the hygienists are awesome! We definitely recommend Country Club Dental!
Marcus Filippi
Marcus Filippi
18:04 11 Dec 18
I have been a patient of Country Club’s Dental for several years and could not be happier everyone I have met there has been friendly and extremely competent in that job. You couldn’t get me to change dentists at this point. I am very happy with Country Club Dental.
Rebecca Hamilton
Rebecca Hamilton
02:00 07 Dec 18
I have been a patient at Country Club Dental for many years and appreciate the skilled dentistry and friendly environment. It has not always been easy for me to receive dental care due to anxiety and they put me at ease and show concern for my comfort. I highly recommend Country Club Dental to my friends and community. Excellent care♡
Wonder Woman
Wonder Woman
18:55 28 Nov 18
Wonderful support staff and great dentist. Caring, but professional. I recommend this dental office highly.
Marilyn Amos
Marilyn Amos
01:46 21 Nov 18
My 6 year old daughter had 3 cavities filled today at CC Dental. They were great with her, very gentle. There was no need for nitrous. We will definitely be back.
Casey Kennedy
Casey Kennedy
04:24 13 Nov 18

CALL US TODAY! 530-240-6417

Google Rating
4.8

You Won’t Want To Miss These Offers

Our patients enjoy receiving the best treatment available when they visit Country Club Dental. Those who appreciate a personalized dental experience, the latest in dental technology, and exemplary results will want to check out the following offers while they’re available.

implant special
dental crown coupon
25% off major dental coupon

This offer is good for new patients only. Excludes HMO insurance plans. Coupons cannot be combined.

Our Locations

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Country Club Dental

3222 ROYAL DRIVE, SUITE A CAMERON PARK, CA 95682

530-240-6417

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Star Dental

2030 Douglas BLVD. - STE 37 Roseville, CA 95661

916-963-8783