Your First Visit
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Schedule an appointments
The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone (323)851-7140 or complete the
Appointment Request Form
below. Our scheduling coordinator will contact you to confirm your appointment.
Appointment request form:
Please do not use this form to cancel or change an existing appointment.
Items marked with * are required.
Please type your full name.
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Please type your Zip.
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Preferred time(s) for an appointment?
Please specify your Preferred time(s) for an appointment?
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):
When would you like to be contacted?
Please select a date when we should contact you.
1510 Poinsettia Place, Los Angeles, CA 90046