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Appointment Request

Call (510) 581-2142

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 Closed
Tuesday 10:00am - 7:00pm
Wednesday 10:00am - 7:00pm
Thursday 10:00am - 7:00pm
Friday 10:00am - 7:00pm
Saturday 9:00am - 3:00pm


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

*Items in bold are required.


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.

Smile With Confidence

As dental professionals it is our priority to provide quality dental care you can trust.

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