Home
Meet the Doctors
Latest Technology
Dental Implants
Cosmetic Dentistry
Teeth Whitening
Healthy Gums
Dental Topics
Payment/Insurance
New Patient Forms
Map / Hours
Contact Us
Make Appointment

Make An Appointment

telephoneTo make an appointment, simply call us at
(626) 857-4702 during business hours:

Monday 8:00 a.m.
-
 5:00 p.m.
Tuesday 8:00 a.m.
-
 5:00 p.m.
Wednesday 7:00 a.m.
-
 4:00 p.m.
Thursday 8:00 a.m.
-
 5:00 p.m.
Friday 7:00 a.m.
-
 1:30 p.m.
Saturday By Appointment

or fill out the information below and we will contact you shortly to set up a time that's convenient for you!

NOTICE: The following form is not secured by encryption. If you are concerned about sending information through an unsecure channel, please call our office.

*Required fields  
  Name: *
  Daytime Phone: *
  E-mail Address: *
  Will this be your first visit with us?
 

Yes
No

 
  Nature of the appointment:
 

Regular Checkup (cleaning)
New Patient Exam
Dental Implant Consultation
Cosmetic Dentistry Consultation
Other - Explain:

 

Any other comments
 or concerns:
   


Back To Top

Home | Meet the Doctors | Latest Technology | Dental Implants | Cosmetic Dentistry
Teeth Whitening | Healthy Gums | Dental Topics | Payment / Insurance
New Patient Forms | Map / Hours | Contact Us | Make An Appointment

© Copyright 2004- Dental WebSmith, Inc. and San Dimas Dental Group. All rights reserved. Disclaimer: The information provided within is intended to help you better understand dental conditions and procedures. It is not meant to serve as delivery of medical or dental care. If you have specific questions or concerns, contact your health care provider.

Privacy Policy