accessibility ACCESSIBILITY
The first step towards a beautiful, healthy smile is to schedule an appointment with a member of our custmer service team. Please contact our office by phone  524-1085 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment. Hours are M-F   8:00 am to 5:00 pm

Please do not use this form to cancel or change an existing appointment.
Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Best time(s) to call?
Preferred day(s) of the week for an appointment?
Preferred time(s) for an appointment?
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):
 
 

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.