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Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment. If unable to keep an appointment, kindly give 24 hrs. notice.  We do reserve the right to charge for the time reserved.
 
*Items in bold are required.


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.):

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

 

Office Hours:

Monday 7-3

Tuesday 7-4 lunch 12-1

Wednesday 8-4  lunch 12-1

Thursday 7-3 lunch 12-1