Call:805-928-6776
Appointment Request

NEW PATIENTS RECEIVE A $10 STARBUCKS OR TARGET GIFT CARD* WITH THEIR FIRST VISIT. REQUEST AN APPOINTMENT TODAY!

*Restrictions apply. Gift card offer not valid with some dental insurances. 

The first step towards a beautiful and healthy smile is to schedule an appointment. Please contact one of our offices by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Santa Maria: 805-928-67761670 S. Broadway

San Luis Obispo: 805-543-8440 - 1338 Santa Rosa St.

King City: 831-386-0958550 Canal St. Suite A

 Our office hours are Monday thru Thursday 9:00am to 5:00pm, Fridays 8:00am to 4:00pm

 

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


Items in bold are required.
Name:  
Address:
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Phone:
Email:
Are you a current patient?
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Which office location(s) would you prefer for your appointment?

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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.