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Healthy Smiles
That Will
Last A Lifetime

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.

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


Our Practice Hours:

  • Monday: 10:00 AM - 5:00 PM

  • Wednesday: 10:00 AM - 7:00 PM

  • Thursday: 12:00 PM - 7:00 PM

  • Friday: 10:00 AM - 3:00 PM

  • Saturday: 10:00 AM - 3:00 PM (alternating)

Patient Information

Please fill out the following form.

Are you a current patient?
Yes
No

Patient Availability

Preferred day(s) of the week
Preferred time(s) for an appointment?

Reason For Visit

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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