Appointment Request

(310) 540-1405

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.

Monday 9am-6pm | Tuesday 9am-6pm | Wednesday Closed | Thursday 9am-6pm | Friday 9am-6pm | Saturday 8am-1pm

We appreciate all our patients and understand that your time is valuable. For this reason, we request a 24 hour notice to reschedule appointments. Please do not use this form to cancel or change an existing appointment. Thank you for your cooperation.

*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.



View More