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Patient Forms


We want to welcome you to the Leeward Pediatric Dentistry family!

We are glad that you are interested in becoming a patient of Dr. James Hori’s Waipahu, HI dental practice. New patients are always welcome here. Everyone at Leeward Pediatric Dentistry is committed to making your visits pleasant and stress-free. You can count on our friendly, highly experienced staff to always provide the highest standard of dental care in a clean, state-of-the art environment. Your comfort is our top priority.

We look forward to seeing you soon!

Dr. James Hori and the Leeward Pediatric Dentistry team


Click below to complete our New Patient, Authorization Forms and Covid-19 Questionnaire





Referring Doctors please fill out form here.



Leeward Pediatric Dentistry
94-229 Waipahu Depot St, Suite 501
Waipahu, HI 96797
Phone: 808-698-5191
Fax: 808-671-3443

Office Hours

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