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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.

Los Angeles

Office Hours:

Wednesday 10am to 7pm
Thursday 10am to 7pm
Saturday 9am to 2pm
(Closed on 1st Saturday) 

Torrance Office

Office Hours:

Tuesday 9am to 6pm
Friday 9am to 6pm
1st Saturday of each month 9am to 2pm 

Rowland Heights

Office Hours:

Tuesday 9am to 6pm
Thursday 9am to 6pm
Saturday 9am to 2pm
(Closed on 2nd Saturday) 


Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Best time(s) to call?

Which office location(s) would you prefer for your appointment?
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.