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.

Phone: (805) 925-5000
Phone: (805) 352-9101

Office Hours:
Monday - Wednesday 8:00am - 5:00pm
Thursday 8:00am - 12:00pm
Friday 8:00am 12:00pm (Once Per Month) 

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

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.

Ready for your first appointment?