The first step towards a beautiful, healthy smile is to schedule an appointment.

Please contact our office by phone 408-254-1760  or complete the appointment request form below. We will try our best to accommodate you at our office during your preferred time slot. Our scheduling coordinator will contact you to confirm your appointment.

Please note that we have convenient evening and weekend appointments available.

Name  *
Address   
City
State/Province
Zip/Postal:
Email *   e.g. you@domain.com
Phone *  
Best time(s) to call?
Preferred day(s) of the week for an appointment? *
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

     

Note : Fields marked with * are mandatory.