Disclosures


Notice of Nondiscrimination - ACA Section 1557

Discrimination is Against the Law

Manrriquez Dental complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Manrriquez Dental does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Manrriquez Dental:

  • Provides free aids and services to people with disabilities to communicate effectively with us, such as:
    • Qualified sign language interpreters
    • Written information in other formats (large print, audio, accessible electronic formats, other formats)

  • Provides free language services to people whose primary language is not English, such as:
    • Qualified interpreters
    • Information written in other languages

If you need these services, contact Dr. Sal Manrriquez

If you believe that Manrriquez Dental has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Dr. Sal Manrriquez, [Mailing Address], [Telephone number ], [TTY number—if covered entity has one], [Fax], [Email]. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, [Name and Title of Civil Rights Coordinator] is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.


Statement of Nondiscrimination - ACA Section 1557

Manrriquez Dental complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.


Language Assistance Services - Spanish

 ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-714-964-4747 (TTY: 1-657-210-4405).


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We encourage you to contact us with any questions or comments you may have. Please call our office or use the contact form below.

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Manrriquez Dental
Sal Manrriquez, DDS, FAHS, FAAOP
Diplomate, American Board of Oro-Facial Pain

Sal Manrriquez, DDS of Manrriquez Dental is committed to providing excellence in cosmetic and implant dentistry. Dr. Manrriquez also offers advanced treatment of TMJ (jaw) dysfunction. The office serves patients in Fountain Valley and throughout Orange County including Huntington Beach, Newport Beach, Santa Ana, Garden Grove, and Costa Mesa.


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