Request an appointment

Book instantly with our online scheduler, or send a request below and a team member will reach out to confirm — usually the same business day. For dental emergencies, please call us at (626) 246-1200 instead.

Book online — pick your time now

See real openings and confirm your appointment in a couple of minutes.

Trouble loading the scheduler? Open it in a new tab or call (626) 246-1200.

Please do not include sensitive medical information (PHI) in this form. We will collect health information securely when you arrive. For urgent dental emergencies, please call us at (626) 246-1200.

Contact

Your full name

Phone number

Email address

Visit details

Are you a new or returning patient?

Reason for visit

Preferred date

We'll match it as closely as we can.

Preferred time

Dental insurance carrier (optional)

e.g. Delta Dental, Cigna, Medi-Cal.

Anything else we should know?

Briefly only — do not include medical details.

I understand this form is not secure for protected health information (PHI).

A team member will call or email to confirm — usually the same business day.