accessibility ACCESSIBILITY
Call: (209) 532-4376

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.

Office Hours

Monday        7am-3pm

Tuesday       7am-3pm

Wednesday   8am-5pm

Thursday      8am-5pm


PLEASE DO NOT USE THIS FORM TO CANCEL OR CHANGE AN EXISTING APPOINTMENT. THANK YOU.


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