Appointment Request

(650) 964-2225

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 office staff will contact you to confirm your appointment.

Office Hours

Monday   8:30 AM - 7:00 PM
Tuesday    8:30 AM - 7:00 PM
Wednesday    CLOSED
Thursday   8:30 AM - 7:00 PM
Friday   8:30 AM - 7:00 PM
Saturday    Limited Availability, please inquire for appointments

Please do not use this form to cancel or change an existing appointment. Please call our offices if you need to cancel or change an existing appointment. 

If you need to cancel an appointment, please give us notice at least 24 hours prior to avoid cancellation charges. All appointments cancelled without 24 hour notice will incur $125 cancellation charge. 

*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.):

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

Healthy Smiles

What does your smile say about you? Let us help you radiate confidence with a healthy smile.



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