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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.


Office Hours:

Monday          9:00AM - 5:00PM
Tuesday         9:00AM - 5:00PM
Wednesday    10:00AM - 6:00PM
Thursday        Closed
Friday            9:00AM - 5:00PM
Saturday        9:00AM - 3:00PM
Sunday          Closed   

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 to book an appointment?  Click here.

Dentist Ontario, CA provides quality General and cosmetic dental services in Ontario, Upland, Pomona, 91762, 91763, 91764,91786, 91761


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