Request Appointment

Please complete the form below and click "Request Appointment". Our staff will contact you soon to schedule an appointment.

Are you a new patient?

Patient's Name

Phone Number

Email Address

Preferred Day(s)

Monday
Tuesday
Wednesday
Thursday
Friday

Preferred Time(s)

Morning
Early Afternoon
Late Afternoon

Reason for Appointment

Please provide any other information related to this appointment request:

New Patient Offers

Patients without insurance receive complete oral exam and full-mouth digital x-rays for $105

Please call for details

Office Hours*

Day	Open	To	Close
Monday	9:00am	-	6:00pm
Tuesday	9:00am	-	6:00pm
Wednesday	9:00am	-	6:00pm
Thursday	9:00am	-	6:00pm
Friday	9:00am	-	6:00pm

* Emergency patients can be seen the same day. We are an in network provider for many PPO insurance, Medicaid and CHIP

Helen B Tran, DMD