Appointment Request

Schedule an Appointment with our Laguna Niguel Office or Upland Office

Please fill out this form to request your desired appointment time and treatment. If your selected time is available, we will call you to schedule and confirm your appointment. It is our mission to make your dental appointments convenient and enjoyable.

Is there a specific date that you would prefer?
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Is there a specific time that you would prefer?

What day of the week would you like to come in?

What time of day do you prefer?

Which location do you prefer?

Please describe the nature of your appointment: