Appointment Request

Call (626) 796-0615

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. Text appointment reminders are available! 

Please do not use this form to cancel or change an existing appointment.

Business Hours:
Monday:       8:00 AM - 5:00 PM
Tuesday:      7:00 AM - 4:00 PM
Wednesday: 9:00 AM - 4:00 PM
Thursday:     8:00 AM - 5:00 PM
Friday:           8:00 AM - 5:00 PM

Lunch 12:00 PM - 1:15 PM

We do not have scheduled patients on Wednesdays, but we will still be available for emergencies.
*Items in bold are required.
Are you a current patient?


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.

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