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Appointment Request

(408) 258-4040

The first step towards a beautiful, healthy smile is to schedule an appointment in our San Jose family & cosmetic dental office. Please contact our office by phone @ (408) 258-4040 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Office Hours

Monday:  Closed
Tuesday:  9:00 a.m. to 5:00 p.m.
Wednesday:  9:00 a.m. to 5:00 p.m.
Thursday: 9:00 a.m. to 5:00 p.m.
Friday:  8:30 a.m. to 12:30 p.m.
Saturday: 8:00 a.m. to 12:30 p.m. (Open one Saturday per month. Call for availability) 





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

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

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.):

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

Healthy Smiles

What does your smile say about you? Let us help you radiate confidence with a healthy smile.



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