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.

Office Hours

Monday: 08:00 AM - 05:00 PM
Tuesday: 08:00 AM - 05:00 PM
Wednesday: 08:00 AM - 05:00 PM
Thursday: 08:00 AM - 05:00 PM
Friday: 08:00 AM - 05:00 PM
Saturday: Closed
Sunday: Closed

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

*Items in bold are required.
Are you a current patient?


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.):

SpamBlocker
 
Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

Office Locations

  • Pine Grove
  • 19751 Hwy 88
  • Pine Grove, CA
  • 95665
  • Map & Directions
  • Call: (209) 296-7878
  • Jackson
  • 12120 Industry Blvd # 35
  • (next to Safeway)
  • Jackson, CA
  • 95642
  • Map & Directions
  • Call: (209) 353- 3275
  • Plymouth
  • 9449 Landrum ST
  • Plymouth, CA
  • 95669
  • Map & Directions
  • Call: (209) 245-4413
ACCESSIBILITY