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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.

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

Office Hours: 

Mon: 8:30am - 5:30pm
Tues: 8:30am - 5:30pm
Wed: 8:30am - 5:30pm
Thurs: 8:30am - 5:30pm


Patient Information

Patient Availability

Reason For Visit

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

10945 South Street Suite 200A|Cerritos, California 90703|Map & Directions

Call: (562) 924-1523