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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: 

Monday : 8:30am- 5:00pm
Tuesday: 8:30am-5:00pm
Wednesday: 8:00am- 2:00pm
Thursday: 8:30 am- 5:00 pm
Friday: 8:30 am- 5:00 pm
Saturday:8:00am – 2:00pm 



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.

2708 Westminster Avenue #100|Santa Ana, California 92706|MAP & Directions

Call: (714) 554-0700